CAJ | 학술논문

目的：探讨普外科腹部手术切口感染因素及预防对策。方法回顾性分析2420例普外科开腹手术患者的临床资料，统计切口感染发生率，对腹部切口感染（观察组）与无腹部切口感染（对照组）患者可能导致切口感染的相应因素进行归纳分析，对其感染因素进行总结并提出有针对性的预防措施。结果2420例腹部手术患者中发生切口感染共40例（1.65%），观察组年龄、体质量指数、有基础疾病、急诊手术、备皮至手术时间、夏季手术、手术时间、应用电刀高于对照组（P＜0.05），是引起切口感染的危险因素。结论普外科腹部手术切口感染在所难免，应积极预防以逐步降低手术后切口感染率。
목적：탐토보외과복부수술절구감염인소급예방대책。방법회고성분석2420례보외과개복수술환자적림상자료，통계절구감염발생솔，대복부절구감염（관찰조）여무복부절구감염（대조조）환자가능도치절구감염적상응인소진행귀납분석，대기감염인소진행총결병제출유침대성적예방조시。결과2420례복부수술환자중발생절구감염공40례（1.65%），관찰조년령、체질량지수、유기출질병、급진수술、비피지수술시간、하계수술、수술시간、응용전도고우대조조（P＜0.05），시인기절구감염적위험인소。결론보외과복부수술절구감염재소난면，응적겁예방이축보강저수술후절구감염솔。
Objective To investigate the clinical characteristics of abdominal operation incision in the Department of general surgery.Methods Retrospective analysis of the clinical data of 2420 patients with abdominal operation in the Department of general surgery, the infection rate of statistical incision, abdominal incision infection(observation group) and no abdominal incision infection(control group)were analyzed in the possible factors of incision infection,the infection factors were summarized and put forward targeted preventive measures.Results 2420 cases of abdominal operation occurred in patients with a total of 40 cases of wound infection,the observation group age,body mass index,have basic diseases,emergency operation,skin preparation to operation time,summer operation,operation time, the application of electric knife,higher than that of the control group(P<0.05), may be the risk factors of wound infection.Conclusion The infection of abdominal incision can hardly be avoided department of general surgery operation, should actively prevent to gradually reduce the rate of incision infection after operation.