中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2015年
5期
439-442
,共4页
腹部手术%切口感染%高危因素%防治措施
腹部手術%切口感染%高危因素%防治措施
복부수술%절구감염%고위인소%방치조시
Abdominal operation%Incision infection%Risk factors%Preventive measures
目的 探讨普外科腹部手术切口感染的高危因素及其防治措施.方法 回顾性分析我院2006年1月至2013年3月行腹部手术2 118例患者的临床资料,术后切口感染89例(观察组),选择同期80例无切口感染的患者作为对照组,比较两组患者相关因素的差异.结果 观察组年龄≥60岁18例(20.22％),体质量指数≥25 kg/m2 19例(21.35％),合并基础疾病12例(13.48％),Ⅲ类切口17例(19.10％),手术时间≥2 h28例(31.46％),术前应用抗生素13例(14.61％),恶性肿瘤11例(12.36％),使用电刀28例(31.46％),与对照组比较[5例(6.25％)、4例(5.00％)、3例(3.75％)、4例(5.00％)、11例(12.75％)、3例(3.75％)、2例(2.50％)、11例(13.75％)],差异均有统计学意义(P均＜0.05).结论 引起普外科腹部手术切口感染因素多,年龄、BMI、基础疾病、切口类型、手术种类、手术时间长短、术前有无抗生素应用、恶性肿瘤、使用电刀是腹部手术切口感染的高危因素.
目的 探討普外科腹部手術切口感染的高危因素及其防治措施.方法 迴顧性分析我院2006年1月至2013年3月行腹部手術2 118例患者的臨床資料,術後切口感染89例(觀察組),選擇同期80例無切口感染的患者作為對照組,比較兩組患者相關因素的差異.結果 觀察組年齡≥60歲18例(20.22％),體質量指數≥25 kg/m2 19例(21.35％),閤併基礎疾病12例(13.48％),Ⅲ類切口17例(19.10％),手術時間≥2 h28例(31.46％),術前應用抗生素13例(14.61％),噁性腫瘤11例(12.36％),使用電刀28例(31.46％),與對照組比較[5例(6.25％)、4例(5.00％)、3例(3.75％)、4例(5.00％)、11例(12.75％)、3例(3.75％)、2例(2.50％)、11例(13.75％)],差異均有統計學意義(P均＜0.05).結論 引起普外科腹部手術切口感染因素多,年齡、BMI、基礎疾病、切口類型、手術種類、手術時間長短、術前有無抗生素應用、噁性腫瘤、使用電刀是腹部手術切口感染的高危因素.
목적 탐토보외과복부수술절구감염적고위인소급기방치조시.방법 회고성분석아원2006년1월지2013년3월행복부수술2 118례환자적림상자료,술후절구감염89례(관찰조),선택동기80례무절구감염적환자작위대조조,비교량조환자상관인소적차이.결과 관찰조년령≥60세18례(20.22％),체질량지수≥25 kg/m2 19례(21.35％),합병기출질병12례(13.48％),Ⅲ류절구17례(19.10％),수술시간≥2 h28례(31.46％),술전응용항생소13례(14.61％),악성종류11례(12.36％),사용전도28례(31.46％),여대조조비교[5례(6.25％)、4례(5.00％)、3례(3.75％)、4례(5.00％)、11례(12.75％)、3례(3.75％)、2례(2.50％)、11례(13.75％)],차이균유통계학의의(P균＜0.05).결론 인기보외과복부수술절구감염인소다,년령、BMI、기출질병、절구류형、수술충류、수술시간장단、술전유무항생소응용、악성종류、사용전도시복부수술절구감염적고위인소.
Objective To investigate the high risk factors causing abdominal operation incision infection in department of general surgery as well as explore the treatment measures in order to reduce the rate of postoperative incision infection.Methods Retrospective analysis was conducted.Two thousand one hundred and eighteen patients underwent abdominal operation in the Tangshan Branch of Hebei Corps Hospital of China People's Armed Police from Jan.2006 to Mar.2013 were selected as our subjects.Of them,there were 89 cases infected incision after operation and served as the observation group.Selected 80 cases patients without incision infection in the same period served as control group.The difference between two groups related factors were compared.Results In observation group,cases with aged over 60 years old,body mass index (BMI) over 25 kg/m2,complicated with metabolism disease,Ⅲ incision,operation period over 2 h,antibiotics application before operation,malignant tumor and use of electric knife were 18 (20.22％),19 (21.35％),12 (13.48％),17 (19.10％),28 (31.46％),13 (14.61％),11 (12.36％) and 28 (31.46％),respectively;significant different from those in control group (5 (6.25％),4 (5.00％),3 (3.75％),4 (5.00),11 (12.75％),3 (3.75％),2 (2.50％),11 (13.75％);P＜0.05).Conclusion There are a lot of factors causing abdominal incision infection in department of general surgery.The indices of high age,high BMI,with basic diseases,incision type Ⅲ,operation period over 2 h,without antibiotics application,with malignant tumor,use of electric knife are risk factors.
