摘要
目的分析妇产科腹部手术切口感染的危险因素及预防对策,为降低患者切口感染率、改善其预后质量提供临床指导。方法选取医院2009年5月-2012年5月收治的319例接受腹部手术的妇产科患者,按照其切口感染情况分为感染组21例及非感染组298例,比较两组患者临床资料,分析危险因素并探讨干预措施,数据采用SPSS13.0进行分析。结果 319例患者中共发生21例切口感染,感染率6.58%;多因素回归分析发现,年龄≥60岁、BMI<19或>23kg/m2、手术时间≥120min、ASA分级Ⅲ级、急诊手术、非主刀医师缝合、行预防性应用抗菌药物及未进行术后康复教育是影响妇产科腹部手术切口感染的独立危险因素(P<0.05)。结论妇产科腹部手术切口感染与患者自身因素及手术因素均具有密切联系,应注重纠正患者免疫功能较差的状态,并严格落实无菌原则,以降低切口感染发生率,改善患者预后及生存质量。
OBJECTIVE To analyze the risk factors for incision infections in patients undergoing abdominal surgery in department of gynecology and obstetrics and put forward prevention countermeasures so as to reduce the incidence of incision infections and improve the quality of prognosis. METHODS A total of 319 patients who under- went abdominal surgery in department of gynecology and obstetrics from May 2009 to May 2012 were enrolled in the study and divided into the infection group with 21 cases and the non-infection group with 298 cases according to the status of incision infections, then the clinical data were compared between the two groups, the risk factors were analyzed, the intervention measures were put forward, and the statistical analysis was performed with the use of SPSS13.0 software. RESULTS Of the 319 patients, the incision infections occurred in 21 cases with the infection rate of 6.58%. The result of multivariate regression analysis showed that the more than 60 years of age, BMI less than 19 kg/m2 or more than 23 kg/m2 , grade Ⅲ as ASA classification, emergency surgery, suture by other surgeon, prophylactic use of antibiotics, and without conducting postoperative rehabilitation training were the independent risk factors for the incision infections in the patients undergoing abdominal surgery in the depart- ment of gynecology and obstetrics （P〈0. 05）. CONCLUSION The incision infections in the patients undergoing abdominal surgery in the department of gynecology and obstetrics are closely related to both the patients factors of their own and the surgical factors. It is necessary to correct the poor state of immune function and strictly imple- ment the aseptic principles so as to reduce the incidence of incision infections and improve the prognosis as well as the quality of life.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第8期2024-2026,共3页
Chinese Journal of Nosocomiology
基金
海南省自然科学基金资助项目(211020)
关键词
妇产科
腹部手术
切口感染
危险因素
预防
Department of gynecology and obstetrics
Abdominal surgery
Incision infection
Risk factor
Prevention
