摘要
目的探讨外科手术部位感染（SSI）的有关因素和预防措施。方法选取2009年1月-2011年10月我院普通外科手术患者562例，依据细菌学检查的要求，观察患者切口感染情况及切口感染发生率。通过Logistic逐步回归分析方法分析感染的有关因素。结果共监测手术患者562例，发生手术部位感染40例，感染率为7．12％，其中，细菌培养确诊28例，分泌物涂片确诊12例。不同年龄、体重、糖尿病情况、切口种类、切口长度、手术时间的患者术后切口感染率差异显著（x。值为3．68、4．22、5．79、4．27、3．74、5．08，P〈0．05）。Logistic逐步回归分析显示，年龄、肥胖、糖尿病、Ⅱ、Ⅲ类切口和手术时间为切口感染的危险因素（OR=9．6、10．3、9．7、9．8、10．4，P〈0．05）。结论应强化对手术部位感染病原菌的监测，及时采取相应的措施，从而降低感染的发生率。
Objective To explore the relevant factors and prevention measures of surgical site infection （SSI）. Methods 562 cases of general surgical patients in our hospital from January 2009 to October 2011 were selected, in accordance with the requirements of the bacteriological examination, the wound infection and the incidence of incisional infection of patients were observed, the relevant factors of infection were analyzed by the Logistic stepwise regression analysis. Results 562 cas- es of surgical patients were monitored, there were 40 cases of surgical site infection, the infection rate was 7.12%, among whom 28 cases were confirmed by bacterial culture, 12 cases were confirmed by secretions smear. The postoperative wound infection rates of patients with different age, weight, diabetes, incision types, incision length, surgery time were significantly different x2=3.68, 4.22, 5.79, 4.27, 3.74, 5.08, P 〈 0.05）. Logistic stepwise regression analysis showed that age, obesity, diabetes, Ⅱ, Ⅲ class incision and operative time were the risk factors of wound infection （OR = 9.6, 10.3, 9.7, 9.8,10.4, P 〈 0.05）. Conclusion Strengthening the monitoring of surgical site infection pathogens and taking appropriate measures timely can reduce the incidence of infection.
出处
《中国医药导报》
CAS
2012年第15期67-68,71,共3页
China Medical Herald
关键词
外科
手术部位感染
疾病
Surgery
Surgical site infection
Disease
