CAJ | 학술논문

目的：通过对手术患者手术部位感染的目标性监测，探讨手术部位感染（SSIs）的危险因素，从而为控制和降低手术部位感染提供科学依据。方法采用前瞻性监测和根因分析法对2012年1月至2013年6月手术患者的手术部位感染情况进行调查和分析。结果18个月共监测手术患者1216例，发生手术部位感染15例，感染率为1.2%。将单因素分析有统计学差异的8个因素纳入Logistic回归分析模型，筛选出4个手术部位感染的危险因素。结论年龄、手术类型、基础疾病情况和0.5~2 h用药情况是手术部位感染的高危因素，应强化对手术部位感染高危因素的监测，及时采取相应的措施，从而降低感染的发生率。
목적：통과대수술환자수술부위감염적목표성감측，탐토수술부위감염（SSIs）적위험인소，종이위공제화강저수술부위감염제공과학의거。방법채용전첨성감측화근인분석법대2012년1월지2013년6월수술환자적수술부위감염정황진행조사화분석。결과18개월공감측수술환자1216례，발생수술부위감염15례，감염솔위1.2%。장단인소분석유통계학차이적8개인소납입Logistic회귀분석모형，사선출4개수술부위감염적위험인소。결론년령、수술류형、기출질병정황화0.5~2 h용약정황시수술부위감염적고위인소，응강화대수술부위감염고위인소적감측，급시채취상응적조시，종이강저감염적발생솔。
Objective It provides scientific basis for controlling and reducing the surgical site infections by monitoring the target surveillance operation in surgical patients, exploring the surgical site infections(SSIs) risk factors.Methods A prospective study and root cause analysis were employed to investigate and analyze in the surgical site infection of the patients who were operated in the Second People’s Hospital of Karamay during the period from January 2012 to June 2013.Results There are 1216 surgical patients who were monitored in the 18 months. Among them, there were 15 cases of surgical site infections occurred. The rate of SSIs was 1.2%. Bring the 8 factors which have statistics differences by univariate analysis in the Logistic regression analysis model and select 4 risk factors of surgical site infection.Conclusion Age, type of surgery, underlying disease conditions and medications in 0.5~2 hours are high risk factors of surgical site infection. The measures of monitoring high risk factors of surgical site infections should be strengthened.Take appropriate measures promptly to reduce the incidence of infection.