86例老年手术患者术后切口感染情况分析

Analysis on postoperative incision infection in 86 elderly patients

目的 分析老年手术患者术后发生切口感染的情况以及影响因素。方法 回顾性分析我院2017年1月—2019年1月接受手术治疗的86例老年手术患者资料,分析切口感染的发生情况。结果 术后发生切口感染13例,发生率为15.12%。感染切口共检出30株病原菌,其中革兰阴性菌16株,占53.33%,革兰阳性菌13株,占43.33%,真菌1株,占3.33%。年龄60~80岁、手术为急诊手术、Ⅱ类切口、普通手术室、手术时间> 2 h、参与人数> 3人以及接台手术的患者有更高的切口感染率。结论 老年患者是术后切口感染的高危人群,手术性质、手术时间、参与手术的人数以及是否是接台手术,会影响切口感染的发生,应该采取相应预防以及控制的手段以减少老年患者切口感染的发生。

Objective To analyze the incidence and influencing factors of incision infection in elderly patients after operation.Methods The data of 86 elderly patients who received surgical treatment from January 2017 to January 2019 in our hospital were analyzed retrospectively,to investigate the incision infection.Results The postoperative incision infection occurred in 13 cases and the incidence was 15.12%.A total of 30 strains of pathogenic bacteria were detected in the infected incision,including 16 strains(53.33%)of Gram-negative bacteria,13 strains(43.33%)of Gram-positive bacteria and 1 strain(3.33%)of fungus.The patients aged 60-80 years,emergency operation,type II incision,general operating room,operation duration>2 h,involvement of more than 3 participants and consecutive operations had a higher incidence of incision infection.Conclusion Elderly patients are the high-risk group of postoperative incision infection.The classification of operation,operation duration,number of medical staff in the operating room and consecutive operation will affect the occurrence of incision infection.The corresponding prevention and control measures should be taken to reduce the incidence of incision infection in elderly patients.