浅析导致普外科患者发生手术切口感染的高危因素

Analysis of the related factors of operative incision infection and preventive measures

目的 :分析导致普外科患者发生手术切口感染的高危因素,以便为临床上预防手术切口感染提供参考。方法 :对在某院普外科接受手术治疗后发生手术切口感染的35例患者和未发生手术切口感染的35例患者的临床资料进行回顾性研究。将发生手术切口感染的35例患者作为感染组,将未发生手术切口感染的35例患者作为未感染组。采用回顾性分析法对两组患者的年龄、体重指数、所住病房的条件(是否为多人病房)、进行手术的季节(是否为夏季)、合并糖尿病的情况、预防性使用抗菌药的情况、从备皮至进行手术的时间、手术切口的类型、手术切口的长度、术中的失血量和进行手术的时间进行分析,从中找出导致其发生手术切口感染的高危因素。结果 :导致进行普外科手术患者发生手术切口感染的高危因素主要有:患者的年龄偏大、体重指数偏高、住多人病房、在夏季接受手术、合并有糖尿病、手术切口为II类切口、从备皮至进行手术的时间过长、手术切口的长度较大、进行手术的时间较长和术中的失血量较多等。结论 :导致接受普外科手术的患者发生手术切口感染的高危因素较多。因此,在对普外科患者进行手术治疗前,应对其发生手术切口感染的高危因素进行评估,并为其采取相应的预防措施,以降低其手术切口感染的发生率。

Objective To investigate the status of operative incision infection and analyze the related factors so as to put forward the preventive measures. Method To study clinical material of 35 patients with surgical incision infection and 35 patients without surgical incision infection in a hospital. Named 35 patients with surgical incision infection as group A and named 35 patients without surgical incision infection as group B. Analyses factors of age, body mass index, situation of ward, season, complicated with diabetes or not, preventative treated with antibiotic or not, time from skin preparation to operation, type of surgical incision, length of surgical incision, amount of bleeding, operation duration, find the high risk elements of surgical incision infection. Results Incision infection of patients is mainly influenced by age, operation duration,body mass index, ward type, accept operation in summer, complicated with diabetes,Type 2 surgical incision,time from skin preparation to operation, operation duration, and amount of bleeding. Conclusion Because of many high risk factors surgery incision infection in hospital, it is necessary evaluate high risk factors in hospital and prevent surgery incision infection.