某院阑尾切除术手术部位感染监测

发布时间：2018-03-31 13:12

本文选题：阑尾切除术　切入点：切口感染　出处：《中国感染控制杂志》2015年01期

【摘要】：目的了解某手术部位监测院阑尾切除术手术部位感染情况和危险因素,为采取有效的防治措施提供依据。方法通过手术部位监测方法,对2011年7月1日—2013年7月1日该院阑尾切除术患者手术部位感染情况进行调查。结果共监测患者817例,发生手术部位感染37例,感染率为4.53%,其中表浅手术切口感染36例,深部切口感染1例。单因素分析结果显示:阑尾切除术手术部位感染与手术持续时间、麻醉方式、ASA评分、血糖、围手术期是否使用抗菌药物和手术危险指数评分有关(均P0.05)。多因素logistic回归分析结果显示,血糖(OR95%CI:1.07~4.72)、围手术期是否使用抗菌药物(OR95%CI:1.14~7.10)、危险指数评分(OR95%CI:5.90~43.28)是阑尾切除术手术部位感染的独立危险因素(均P0.05)。结论手术部位监测有助于了解阑尾切除术手术部位感染危险因素;临床应采取针对性的干预措施,积极预防阑尾手术切口感染。
[Abstract]:Objective to investigate the infection status and risk factors of appendectomy in a monitoring hospital, and to provide evidence for effective prevention and treatment.Methods from July 1, 2011 to July 1, 2013, the surgical site infection of appendectomy patients in our hospital was investigated by means of site monitoring.Results A total of 817 patients were monitored, 37 cases were infected with surgical site, the infection rate was 4.53. Among them, 36 cases were superficial incision infection and 1 case was deep incision infection.Univariate analysis showed that the infection of appendectomy site was related to the duration of operation, anaesthesia style, blood sugar, perioperative antibiotic use and surgical risk index (all P 0.05).The results of multivariate logistic regression analysis showed that the risk factors of infection of appendectomy site were blood glucose: 1. 07 and 4. 72%, whether or not to use the antibacterials OR 95: 1. 14 and 7. 10% during the perioperative period, and the risk index score of OR95 CI: 5. 90 and 43. 28) were independent risk factors (all P 0. 05).Conclusion the monitoring of surgical site is helpful to understand the risk factors of infection in appendectomy, and clinical intervention should be taken to prevent the infection of appendectomy incision.
【作者单位】：邵东县人民医院;
【分类号】：R656.8

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