急诊手术切口感染的相关因素分析及预防策略

Analysis of related factors and prevention strategy of incision infection in emergency surgery

目的观察急诊手术切口感染的相关因素及预防策略。方法100例急诊手术患者,根据是否发生感染分为未感染组(79例)和感染组(21例)。比较两组患者基本情况与手术情况,分析诱发因素。结果两组性别比较,差异无统计学意义(P>0.05)。未感染组年龄低于感染组,合并基础疾病种类、手术室人数少于感染组,手术持续时间与切口长度短于感染组,术前使用抗菌药物率高于感染组;差异有统计学意义(P<0.05)。年龄大、手术时间长、切口长、术前未给予抗菌药物、手术室人数多是患者术后发生切口感染的独立危险因素(P<0.05)。结论急诊手术切口感染的相关因素分析中,以年龄大、手术时间长、切口长、术前未给予抗菌药物、手术室人数多是患者术后发生切口感染的独立危险因素。

Objective To observe the related factors and prevention strategy of incision infection in emergency surgery.Methods A total of 100 emergency surgery patients were divided into uninfected group(79 cases)and infected group(21 cases)according to whether infection occurred.The basic conditions and surgical conditions of the two groups were compared,and the predisposing factors were analyzed.Results There was no statistically significant difference in gender between the two groups(P>0.05).The age of the uninfected group was lower than that of the infected group,the types of basic diseases,the number of people in the operating room was less than that of the infected group,the duration of surgery and incision length were shorter than the infected group,and the preoperative use rate of antibiotics was higher than the infected group.The difference was statistically significant(P<0.05).Old age,long operation time,long incision length,no antibiotics before operation,and large number of operating rooms were independent risk factors for postoperative incision infection(P<0.05).Conclusion In the analysis of related factors of incision infection in emergency surgery,old age,long operation time,long incision length,no antibiotics before operation,and large number of perating rooms are the independent risk factors for postoperative incision infection in emergency surgery.