肝胆胰腺患者手术部位感染的危险因素分析

发布时间：2017-12-28 14:03

  本文关键词：肝胆胰腺患者手术部位感染的危险因素分析　出处：《中华医院感染学杂志》2016年15期 　论文类型：期刊论文

  更多相关文章： 肝胆胰腺手术 手术部位感染 危险因素 临床护理 预防控制

【摘要】：目的分析肝胆胰腺手术患者发生手术部位感染的相关危险因素,探讨临床护理策略,为临床控制术后感染提供参考依据。方法选择医院2011年7月-2015年11月肝胆胰腺手术患者834例,回顾性分析发生手术部位感染患者的临床资料及感染相关因素,数据采用SPSS 11.0软件进行统计分析。结果发生手术部位感染57例,感染率为6.83%;经logistic回归分析显示,年龄、术前血糖及肝功能异常、低血红蛋白、术前感染、手术切口类型、腹腔镜手术、急诊手术、手术持续时间、术中失血量、留置引流管时间和NISS评分等为肝胆胰腺手术患者发生手术部位感染的独立危险因素(P0.05)。结论患者发生手术部位感染的相关危险因素较多,临床积极加强护理并进行预防控制以减少感染发生率。
[Abstract]:Objective to analyze the risk factors of surgical site infection in patients with hepatobiliary and pancreatic surgery, and explore clinical nursing strategies, so as to provide reference for clinical control of postoperative infection. Methods a total of 834 patients with hepatobiliary pancreatic surgery in November July 2011 -2015 were selected. The clinical data and infection related factors of patients with surgical site infection were retrospectively analyzed. The data were analyzed by SPSS 11 software. Results 57 cases of surgical site infection, the infection rate was 6.83%; the logistic regression analysis showed that age, preoperative blood glucose and abnormal liver function, low hemoglobin, preoperative infection, incision type, laparoscopic surgery, emergency operation, operation duration, intraoperative blood loss, drainage time and NISS score etc. independent risk factors for surgical site infection for patients with hepatobiliary and pancreatic surgery (P0.05). Conclusion there are many related risk factors for the patients with surgical site infection, and the nursing and prevention and control are actively strengthened in order to reduce the incidence of infection.
【作者单位】： 莱芜市人民医院普外科;莱芜市人民医院骨三科;莱芜市莱城区牛泉中心卫生院普外科;莱芜市人民医院供应室;
【基金】：山东省卫生厅科研基金资助项目(2011-169)
【分类号】：R473.6
【正文快照】： 肝胆胰腺外科手术是临床常见治疗方法,患者手术时间长、失血量大,术后侵入性操作较多,患者抵抗力降低,医院感染的发生风险增加。手术部位感染是患者常见的术后并发症,可导致患者病情恶化,影响患者手术效果及术后的恢复,延长住院时间,是患者失败甚至死亡的重要原因。采取针对性，

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