摘要
目的探讨干预流程对开腹手术患者切口感染的预防效果,以减少手术切口感染的发生率。方法选取2013年1-12月医院收治的58例开腹手术患者为对照组,按照常规手术方法进行操作;选取2014年1-12月医院收治的61例开腹手术患者为干预组,按照新的干预流程进行操作,比较两组患者手术时间、手术愈合、切口感染、住院时间。结果两组患者手术时间比较,差异无统计学意义;干预组的住院时间明显比对照组短,差异有统计学意义(P<0.01);两组患者均顺利完成手术,干预组愈合率98.4%,对照组愈合率81.0%,两组比较差异有统计学意义(P<0.05);干预组感染率为1.6%,对照组感染率为19.0%,两组比较差异有统计学意义(P<0.05)。结论对开腹手术患者实施干预流程可减少患者的住院时间、提高愈合率、减少切口感染率。
OBJECTIVE To explore the effect of the intervention procedure on prevention of incision infections in the patients undergoing laparotomy so as to reduce the incidence of surgical incision infections.METHODS A total of58 patients who underwent the laparotomy from Jan 2013 to Dec 2013 were assigned as the control group,and they were treated with conventional surgical procedures;totally 61 patients who underwent the laparotomy from Jan2014 to Dec 2014 were set as the intervention group,and they were treated with the new intervention procedure.The operation duration,surgical healing,incidence of incision infections,and length of hospital stay were observed and compared between the two groups.RESULTS There was no significant difference in the operation duration between the two groups.The length of hospital stay of the intervention group was significantly shorter than that of the control group,with significant difference（P〈0.01）.Both groups of patients finished the surgery successfully.The healing rate of the intervention group was 98.4%,the control group 81.0%,with significant difference（P〈0.05）.The infection rate was 1.6% in the intervention group,19.0% in the control group,with significant difference（P〈0.05）.CONCLUSION The implementation of the intervention procedure can shorten the length of hospital stay,raise the cure rate,and reduce the incidence of incision infections in the patients undergoing the laporotomy.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第18期4241-4242,4251,共3页
Chinese Journal of Nosocomiology
基金
山东省自然科学基金资助项目(ZR2009CL018)
关键词
干预流程
开腹手术
切口感染
Intervention procedure
Laparotomy
Incision infection
