摘要
目的分析外科Ⅰ类切口手术患者切口感染的危险因素。方法采用医院病案管理系统抽取广西玉林市某三甲医院住院病区2015—2017年收治的外科Ⅰ类切口手术患者17 318例,调查患者的年龄、性别、手术输血、麻醉方式、肿瘤、住院时间、临床路径、病情危重、病情疑难、手术级别、急诊手术、手术风险分级及抗菌药物合理应用情况,采用多因素非条件Logistic回归分析外科Ⅰ类切口手术患者切口感染的危险因素。结果所有患者中,出现切口感染130例,感染发生率为0.75%。将切口感染患者归分为研究组(n=130),未出现感染者分为对照组(n=17188)。两组患者年龄、性别、全身麻醉、病情危重、手术级别比较,差异无统计学意义(P>0.05);两组患者手术输血、肿瘤、住院时间、临床路径、病情疑难、急诊手术、手术风险分级、预防用药比较,差异有统计学意义(P<0.05)。经多因素非条件Logistic回归分析结果显示,手术输血、住院时间>10 d、急诊手术、不合理预防使用抗菌药物是外科Ⅰ类切口手术患者发生切口感染的独立危险因素(P<0.05)。结论手术输血、急诊手术、住院时间>10 d、不合理预防使用抗菌药物是外科Ⅰ类切口手术患者发生切口感染的独立危险因素,临床可通过控制该危险因素降低切口感染发生率。
Objective To analyse the risk factors of incision infection in typeⅠincision surgery.Methods The clinical dates of 17 318 patients underwent typeⅠincision surgery were selected from 2015 to 2017 years in Inpatient Ward of3 A Hospital in Yulin City,the situation of age,gender,blood infusion,anesthesia method,tumour,length of stay,clinical pathway,serious disease,difficult illness,surgical grade,emergency operation,surgical risk classification and rational use of antibiotics were surveyed.Logistic regression analysis were used to identify the risk factors of incision infection in typeⅠincision surgery.Results Of the 17 318 cases of patients,the postoperative incision infection occurred in 130 cases,with the infection rate of 0.75%.The incision infection patients were as study group(n=130),the control group was not infected(n=17 188).No significant differences of age,gender,general anaesthesia,serious disease or surgical grade was found between the two groups(P>0.05);there were significant differences of blood infusion,tumour,length of stay,clinical pathway,difficult illness,emergency operation,surgical risk classification and rational use of antibiotics between the two groups(P<0.05).Logistic analysis showed that blood infusion,length of stay>10 d,emergency operation and rational use of antibiotics were the risk factors of incision infection in typeⅠincision surgery(P<0.05).Conclusion Blood infusion,emergency operation,length of stay>10 d and rational use of antibiotics are the risk factors of incision infection in typeⅠincision surgery.Clinically,the incidence of incision infection can be reduced by controlling the risk factors.
作者
冯自成
卢思宇
FENG Zi-cheng;LU Si-yu(Health School,Yulin 537000,China)
出处
《临床合理用药杂志》
2019年第9期8-10,共3页
Chinese Journal of Clinical Rational Drug Use
