结肠直肠恶性肿瘤术后手术部位感染的原因和防控措施

Causes and preventive measures of surgical site infection after operation for colorectal malignant tumors

目的分析结肠直肠恶性肿瘤术后手术部位感染的原因,总结防控措施。方法选取2017年2月-2018年3月我院收治的198例结肠直肠恶性肿瘤手术患者,其中36例出现手术部位感染,收集所有患者的临床资料,总结分析诱因,并采取针对性防控措施。结果经调查分析,结肠直肠恶性肿瘤术后手术部位感染的原因包括腹部手术史、合并糖尿病、开腹手术方式、手术时间≥150 min,不同患者术后手术部位感染率存在明显差异(P<0.05)。结论针对结肠直肠恶性肿瘤术后手术部位感染的原因应当加强防控,推广科学防控措施以减少术后感染。

Objective To analyze the causes of surgical site infection after operation for colorectal malignant tumors and summarize the preventive and control measures. Methods 198 patients with colorectal malignant tumors who underwent surgery in our hospital from February 2017 to March 2018 were selected. Of them, 36 patients suffered from surgical site infection. Clinical data of all patients were collected, inducements were summarized and analyzed, and targeted prevention and control measures were taken. Results After investigation and analysis, the causes of surgical site infection after operation for colorectal malignant tumors included history of abdominal operation, diabetes mellitus, mode of laparotomy and operation time (>150 minutes). There were significant differences in the infection rate of surgical site among different patients (P<0.05). Conclusion In view of the causes of surgical site infection after operation for colorectal malignant tumors, prevention and control should be strengthened, and scientific prevention and control measures should be popularized to reduce postoperative infection.