探讨手术室切口感染的相关因素

Related factors of incision infection in operation room

目的研究行手术治疗患者术后发生切口感染的影响因素。方法随机选取2015年6月-2017年1月在我院开展手术治疗并发生术后切口感染的100例患者,将其设置为观察组,然后随机选取在该阶段没有发生切口感染的手术治疗患者200例,将其设置为对照组,收集全部研究对象的一般资料与手术状况,比较并分析影响患者术后发生切口感染的因素。结果观察组患者的年龄超过60岁的比例、参观者人数超过3例的比例、急诊手术的比例、Ⅲ级切口的比例、手术用时超过3 h的比例以及安置引流管的比例均比对照组的明显增加(P<0.05)。经多因素分析发现,年龄超过60岁、急诊手术、Ⅲ级切口、手术用时超过3 h以及安置引流管均属于影响患者术后发生切口感染的高危因素(P<0.05)。结论年龄超过60岁、急诊手术、Ⅲ级切口、手术用时超过3 h以及安置引流管均属于影响患者术后发生切口感染的高危因素,在临床手术期间应尽量降低手术用时,选取最佳的切口,术后应综合评估患者切口感染的发生率,并给予早期预防干预。

Objective To study the influencing factors of incision infection after surgical treatment.Methods Randomlyselected in June2015to January2017in our hospital to carry out surgical treatment and postoperative incision infectionof100patients,as the observation group.200patients who had no incision infection at this stage were randomly selected as thecontrol group.The general data and operation condition of all the subjects were collected,and the factors affecting incision infectionafter operation were compared and analyzed.Results The observation group patients over the age of60years,the proportionof the number of visitors more than3,the proportion of emergency surgery,III notch ratio,the proportion of more than3h and the ratio of drainage tube placement were significantly increased than the control group(P<0.05).Through multivariateanalysis,it was found that over60years old,emergency surgery,III notch,operation time more than3h and drainage tube werethe high risk factors of incision infection in patients(P<0.05).Conclusion Over60years of age,emergency surgery,III gradeincision,surgical operation over3h and drainage tube are all the high risk factors of postoperative infection.During the clinicaloperation,we should try to reduce the operation time,select the best incision,and evaluate the incidence of incision infectionand give early prevention intervention after operation.