普通外科手术切口感染监测及高危因素分析

Infection monitoring and risk factors analysis of surgical incision in general surgery

目的:分析普通外科手术切口感染情况,并总结其高危影响因素。方法:收治普外科患者189例,分别对其进行切口感染监测,并通过对感染与未感染患者进行比较来分析普外科手术切口感染的高危影响因素。结果:发生切口感染42例,发生率22.2%。感染组与非感染组年龄、BMI、手术实施季节、术前准备时间、手术持续时间、术中出血量、手术切口类型、切口长度、合并高血压以及糖尿病等情况比较,差异有统计学意义(P<0.05)。结论:本院普外科手术后仍有相对较高的切口感染发生风险,而患者年龄、BMI、手术实施季节、术前准备时间、手术持续时间、术中出血量、手术切口类型、切口长度以及合并慢性病情况是切口感染的高危影响因素。

Objective:To analyze the infection status of incision in general surgery,and summarize the risk factors.Methods:189 cases from the department of general surgery were selected.The incision infection was monitored respectively,and by comparing the infected and uninfected patients to analyze the high risk factors of surgical incision infection.Results:The incision infection occurred in 42 cases,and the incidence rate was 22.2%.There were significant differences between the infection group and the non infection group of age,BMI,operation season,preoperative preparation time,duration of operation,intraoperative blood loss,surgical incision type,incision length,combined with hypertension and diabetes(P<0.05).Conclusion:There is still a relatively high risk of incision infection after general surgery.The age of patients,BMI,operation season,preoperative preparation time,duration of operation,intraoperative blood loss,surgical incision type,incision length and the merger of chronic diseases are high risks of incision infection factors.