摘要
目的分析引起腹部手术切口感染相关因素,探讨预防对策,减少切口感染的发生。方法选择2008年1月-2012年7月60例腹部手术发生切口感染的患者作为研究对象,按照1∶1选择同期60例无切口感染的腹部手术患者作为对照病例,比较两组患者年龄、性别、体质量指数(BIM)、营养状况、不合理应用抗菌药物、手术种类、手术时间、切口长度、住院时间等的差异。结果感染组患者平均(58.12±13.89)岁、BIM(24.12±1.03)kg/m2、不合理应用抗菌药物46.67%、Ⅲ类手术31.67%、手术时间(165.02±22.67)min、住院时间(19.23±4.45)d等高于无感染组(49.67±12.67)岁、(22.97±0.98)kg/m2、20.00%、13.33%、(98.90±20.64)min、(14.68±3.56)d,白蛋白水平(32.12±2.78)g/L低于于无医院感染组(35.87±2.97)g/L,差异有统计学意义(P<0.05),是引起切口感染相关因素;两组切口长度、性别构成比较差异无统计学意义。结论引起腹部手术切口感染因素复杂,实施针对性措施避免减少切口感染的发生。
OBJECTIVE To analyze the related factors of incision infections in the abdominal surgery and explore prevention countermeasures so as to reduce the incidence of incision infections. METHODS Totally 60 cases of patients with incision infections of abdominal surgery were enrolled in the study, and 60 cases of patients without incision infections who underwent the abdorninal operation were selected in a 1：1 ratio as controls, then the age, gender, body mass index （BMI）, nutritional status, irrational use of antibiotics, operation types, duration of operation, length of incision, and length of hospitalization were compared between the two groups. RESULTS The average agewas （58.12±13.89） years old in the infection group ,higher than （49.67±12.67） years old of the non-infection group, the BIM was （24.12±1.03）kg/mz in the infection group, higher than （22.97±0.98）kg/m2 of the non-infection group, the proportion of the cases with irrational use of antibiotics was 46.67% ,higher than 20.00% of the non-infection group, the proportion of the cases undergoing type I]1 operation was 31.67% in the infection group,higher than 13. 33% of the non-infection group, and the duration of operation was （165.02±22.67） min in the infection group, longer than （98.90 ：t： 20.64）min of the non-infection group, and the length of hospitalization was （19.23±4.45）d in the infection group, longer than （14. 68±3. 56）d of the non-infection group, however, the albumin level of the infection group was （32.12±2, 78）g/L, lower than （35.87±2.97）g/L of the non-infection group , the differences were statistically significant（P〈0.05）, above were the related factors for the incision infections, the differences in the length of incision and the constituent ratio of gender between the two groups were not statistically insignificant. CONCLUSION The related factors for incision incsinon infections of abdominal operation are complex,and implementing targeted measures can reduce the incidence of incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第22期5454-5455,5476,共3页
Chinese Journal of Nosocomiology
基金
湖州市科技攻关计划基金项目(2010GS06)
关键词
腹部手术
切口
感染
预防对策
Abdominal surgery
Incision
Infection
Prevention countermeasure
