手术室医院感染的相关危险因素分析

发布时间：2018-08-13 19:26

【摘要】：目的分析手术室医院感染的相关危险因素,探讨其相关的预防措施,以期为手术室医院感染的防治提供参考依据。方法回顾性分析2012年1月-2012年12月手术室行外科手术的13 866例患者临床资料,采用SPSS12.0统计软件处理数据,计数资料采用χ2检验,统计分析其医院感染的危险因素。结果 13 866例在医院手术室行外科手术的患者中512例发生医院感染,感染率为3.7%;医院感染主要以呼吸道和手术切口感染为主,分别占54.1%、18.2%,其次为泌尿道和胃肠道感染,分别占13.1%、10.5%;单因素χ2检验显示,年龄60岁、手术时间120min、术中输血、急诊手术的患者具有较高的术后感染率(P0.05)。结论手术室医院感染的主要部位是呼吸道和手术切口,患者的年龄、手术时间、术中输血、急诊手术是其医院感染的高危因素,积极采取相应的预防措施有望减低医院感染的发生率。
[Abstract]:Objective to analyze the related risk factors of nosocomial infection in operating room and to explore its preventive measures in order to provide reference for the prevention and treatment of nosocomial infection in operating room. Methods the clinical data of 13 866 patients undergoing surgical operation in the operating room from January 2012 to December 2012 were analyzed retrospectively. The data were processed by SPSS12.0 software and the data were analyzed by 蠂 2 test. The risk factors of nosocomial infection were statistically analyzed. Results among 13 866 patients undergoing surgery in hospital operating room, 512 cases developed nosocomial infection, the infection rate was 3.7.The main nosocomial infection was respiratory tract infection and operative incision infection, accounting for 54.1% 18.2%, followed by urinary tract infection and gastrointestinal tract infection. Univariate 蠂 2 test showed that the patients who were 60 years old, operated for 120 minutes, received blood transfusion during operation and underwent emergency surgery had a higher postoperative infection rate (P0.05). Conclusion the main sites of nosocomial infection in operating room are respiratory tract and surgical incision, patient's age, operation time, intraoperative blood transfusion and emergency operation are the high risk factors of nosocomial infection. Active preventive measures are expected to reduce the incidence of nosocomial infection.
【作者单位】：东阳市人民医院手术室;
【基金】：金华市科学技术研究计划基金项目(2012-3-082)
【分类号】：R181.32

【参考文献】