手术室腹部手术患者切口感染的相关因素分析与预防对策

发布时间：2018-07-15 14:35

【摘要】：目的分析造成手术患者腹部切口感染的手术室相关因素并探讨预防其发生的对策,为临床治疗提供参考依据。方法选择2015年1月-2016年10月医院住院接受腹部手术治疗的1 568例患者为研究对象,回顾性分析其临床资料,分析感染切口的病原菌;对患者切口感染的危险因素进行单因素和多因素分析。结果 1 568例患者中,出现切口感染的患者有34例,感染率为2.17%;多因素logistic结果显示,患者年龄≥60岁、急诊手术、普通手术室、参观手术人数≥3人、手术时间≥2h、接台手术是腹部手术患者发生切口感染的独立危险因素(P0.05);共检出34株病原菌,以革兰阴性菌为主,共17例占50.00%。结论本研究通过对腹部手术患者的临床资料进行分析,探究引起腹部切口感染的危险因素和病原学特点,以帮助临床医师根据发生切口感染的危险因素采取措施,以预防感染的发生。
[Abstract]:Objective to analyze the related factors of abdominal incision infection in surgical patients and to explore the countermeasures to prevent the infection in order to provide reference for clinical treatment. Methods from January 2015 to October 2016, 1 568 patients who received abdominal surgery in hospital were selected as study objects. The clinical data and pathogenic bacteria of infected incision were analyzed retrospectively. The risk factors of wound infection were analyzed by univariate and multivariate analysis. Results among the 1 568 patients, 34 had incisional infection and the infection rate was 2.17.The results of multivariate logistic showed that the age of the patients was more than 60 years, the emergency operation, the general operating room, and the number of patients visiting the operation were more than 3. Operation time 鈮，

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