摘要
目的:分析医院手术患者的非计划二次手术与医院感染发生情况,为减少非计划二次手术和相关感染的发生提供参考。方法:选取2019年12月—2021年10月南阳市中心医院收治的105467例手术患者作为研究对象,采集患者的年龄、性别、所在科室、手术名称、手术原因、手术次数和感染发生情况等信息,分析患者非计划二次手术与医院感染的发生特点。结果:105467例手术患者中有179例(占0.17%)发生非计划二次手术,其主要分布在消化外科(43例,占24.02%)、神经外科(41例,占22.91%)和肝胆胰脾外科(31例,占17.32%),行非计划二次手术的原因主要为术后出血(102例,占56.98%),其次为切口感染(20例,占11.17%)和愈合不良(16例,占8.94%);179例行非计划二次手术的患者中发生医院感染的有52例(感染发生率为29.05%),其中感染时间发生在二次手术后的有29例(占55.77%),发生首次手术后的有22例(占42.31%);此外,感染的部位以手术部位为主(26例,占50.00%),其次为呼吸道(18例,占34.62%)。结论:医院非计划二次手术的发生率整体较低,其中术后出血是主要原因,此外医院感染在非计划二次手术患者中的发生率较高,临床应持续加强患者的术中、术后管理,以减少二次手术及其相关并发症的发生。
Objective:To analyze the occurrence of unscheduled secondary surgeries and nosocomial infections in surgical patients in the hospital,so as to provide reference for reducing the occurrence of unscheduled secondary surgeries and related infections.Methods:105467 surgical patients admitted to Nanyang Central Hospital from December 2019 to October 2021 were selected as the study objects,and information of patients was collected such as age,gender,department,name of surgery,reason for surgery,number of surgeries,and occurrence of infections,to analyze the occurrence characteristics of unscheduled secondary surgeries and nosocomial infections in the patients.Results:Among 105467 surgical patients,179(0.17%)underwent unscheduled secondary surgeries,mainly in gastroenterology(43 cases,24.02%),neurosurgery(41 cases,22.91%),and hepatobiliary,pancreatic,and spleen surgery(31 cases,17.32%).The main reasons for unscheduled secondary surgeries were postoperative hemorrhage(102 cases,56.98%),followed by incision infection(20 cases,11.17%)and poor healing(16 cases,8.94%).Among 179 patients undergoing unscheduled secondary surgeries,52(with incidence of infection at 29.05%)had nosocomial infections,with 29(55.77%)of these infections after the secondary surgeries and 22(42.31%)after the initial surgeries.In addition,the infection was predominantly at the surgical site(26 cases,50.00%),followed by the respiratory tract(18 cases,34.62%).Conclusion:The overall incidence of unscheduled secondary surgeries in the hospital is relatively low,with postoperative hemorrhage as the main cause;in addition,the incidence of nosocomial infections is higher in patients undergoing unscheduled secondary surgeries.Clinically,it is necessary to continuously strengthen the intra-operative and postoperative management of patients,so as to reduce the incidence of secondary surgeries and related complications.
作者
李帅
牛桂林
朱金玉
闫小燕
任旭
LI Shuai;NIU Gui-lin;ZHU Jin-yu;YAN Xiao-yan;REN Xu(Nanyang Central Hospital,Nanyang Henan 473000,China)
出处
《抗感染药学》
2023年第7期733-736,共4页
Anti-infection Pharmacy
关键词
非计划二次手术
医院感染
临床特点
unscheduled secondary surgeries
nosocomial infection
clinical characteristics
