中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
2期
36-38
,共3页
赵晓海%王成志%孔建兵%鲍跃兵
趙曉海%王成誌%孔建兵%鮑躍兵
조효해%왕성지%공건병%포약병
普通外科%老年人%危险因素%切口感染
普通外科%老年人%危險因素%切口感染
보통외과%노년인%위험인소%절구감염
General surgery%Aged%Risk factors%Incision infection
目的 分析普通外科老年患者手术后切口感染的影响因素,为医院感染的防治提供理论依据.方法 回顾性分析306例普通外科手术的老年患者的临床病历资料,分析手术后切口感染的危险因素.结果 306例老年患者手术后切口感染发生率为10.5％(32/306).210例合并慢性病患者手术后切口感染发生率显著高于96例非合并慢性病患者[12.9％(27/210)比5.2％(5/96)],92例夏季手术患者手术后切口感染发生率显著高于83例春季、71例秋季、60例冬季患者[16.3％(15/92)比8.4％(7/83)、8.5％(6/71)、6.7％(4/60)],120例手术时间＞120 min患者手术后切口感染发生率显著高于186例手术时间≤120 min患者[15.0％(18/120)比7.5％(14/186)],162例急诊手术患者手术后切口感染发生率显著高于144例非急诊手术患者[12.3％(20/162)比8.3％(12/144)],差异均有统计学意义(P＜0.05).结论 合并慢性病、夏季、手术时间＞ 120 min、急诊手术是普通外科老年患者手术后切口感染的危险因素.
目的 分析普通外科老年患者手術後切口感染的影響因素,為醫院感染的防治提供理論依據.方法 迴顧性分析306例普通外科手術的老年患者的臨床病歷資料,分析手術後切口感染的危險因素.結果 306例老年患者手術後切口感染髮生率為10.5％(32/306).210例閤併慢性病患者手術後切口感染髮生率顯著高于96例非閤併慢性病患者[12.9％(27/210)比5.2％(5/96)],92例夏季手術患者手術後切口感染髮生率顯著高于83例春季、71例鞦季、60例鼕季患者[16.3％(15/92)比8.4％(7/83)、8.5％(6/71)、6.7％(4/60)],120例手術時間＞120 min患者手術後切口感染髮生率顯著高于186例手術時間≤120 min患者[15.0％(18/120)比7.5％(14/186)],162例急診手術患者手術後切口感染髮生率顯著高于144例非急診手術患者[12.3％(20/162)比8.3％(12/144)],差異均有統計學意義(P＜0.05).結論 閤併慢性病、夏季、手術時間＞ 120 min、急診手術是普通外科老年患者手術後切口感染的危險因素.
목적 분석보통외과노년환자수술후절구감염적영향인소,위의원감염적방치제공이론의거.방법 회고성분석306례보통외과수술적노년환자적림상병력자료,분석수술후절구감염적위험인소.결과 306례노년환자수술후절구감염발생솔위10.5％(32/306).210례합병만성병환자수술후절구감염발생솔현저고우96례비합병만성병환자[12.9％(27/210)비5.2％(5/96)],92례하계수술환자수술후절구감염발생솔현저고우83례춘계、71례추계、60례동계환자[16.3％(15/92)비8.4％(7/83)、8.5％(6/71)、6.7％(4/60)],120례수술시간＞120 min환자수술후절구감염발생솔현저고우186례수술시간≤120 min환자[15.0％(18/120)비7.5％(14/186)],162례급진수술환자수술후절구감염발생솔현저고우144례비급진수술환자[12.3％(20/162)비8.3％(12/144)],차이균유통계학의의(P＜0.05).결론 합병만성병、하계、수술시간＞ 120 min、급진수술시보통외과노년환자수술후절구감염적위험인소.
Objective To investigate the risk factors of incision infection in elderly patients of general surgery.Methods The clinical data of 306 elderly patients of general surgery were analyzed retrospectively.The risk factors of incision infection were analyzed.Results The rate of incision infection was 10.5％ (32/306).The rate of incision infection in chronic disease patients was higher than that in non-chronic disease patients [12.9％(27/210) vs.5.2％(5/96)],the rate of incision infection in summer was significantly higher than that in spring,autumn and winter[16.3％(15/92) vs.8.4％(7/83),8.5％(6/71) and 6.7％ (4/60)],the rate of incision infection in operative time longer than 120 min patients was higher than that in operative time less than 120 min patients [15.0％ (18/120) vs.7.5％ (14/186)],the rate of incision infection in emergency surgery patients was higher than that in non-emergency surgery patients [12.3％ (20/162) vs.8.3％(12/144)],there had significantly difference (P＜ 0.05).Conclusion Chronic disease,summer,operative time longer than 120 min,emergency surgery in elderly patients are the mainly risk factors of incision infection in general surgery.
