摘要
目的探讨老年胃肠手术患者切口感染及其对策,有效降低感染率。方法将2010年7月-2012年7月住院的1280例行老年胃肠手术患者进行回顾性调查及统计分析,并提出预防老年胃肠手术患者切口感染的相关对策。结果发现手术切口感染患者81例,感染率6.3%;经手术切口感染病原菌监测发现革兰阴性菌60株,占74.1%;采用多因素logistic回归分析表明,年龄(OR值=0.667)、腹部手术史(OR值=0.557)、肿瘤类型(OR值=0.334)、术后白蛋白水平(OR值=0.222)、切口(OR值=0.466)和手术类型(OR值=0.661)、手术(OR值=0.432)和住院时间(OR值=0.432)以及切口长度(OR值=0.633)等因素,差异均有统计学意义(P<0.05)。结论老年胃肠手术常伴有切口感染,采取有效地措施控制危险因素,合理使用抗菌药物,能有效地减少感染率,使老年患者尽早康复。
OBJECTIVE To investigate incision infections in elderly patients undergoing gastrointestinal surgery and its countermeasures so as to effectively reduce the rate of infections. METHODS A total of 1280 cases of senile patients who underwent routine gastrointestinal surgery from Jul 2010 to Jul 2012 were retrospectively investigated and statistically analyzed, and specific measures of wound infection prevention were proposed. RESULTS Totally 81 cases were found to have surgical incision infections, and the infection rate was 6.3~ ~ 60 cases of patients were found to be infected with gram-negative bacilli by monitoring for surgical wound infection pathogens, accounting for 74.1%. The multivariate logistic regression analysis showed that there were significant differences （P^0.05） in factors including age （OR=O. 667）, history of abdominal surgery （OR--O. 557）, tumor types （OR=O. 334）, postoperative albumin level （OR=0. 222）, incision （OR^0. 466）, types of surgery （OR=0. 661）, surgery （OR =0. 432）, the duration of hospitalization （OR = O. 432）, and the length of the incision （OR = O. 633）. CONCLUSION The senile gastrointestinal surgery is often accompanied by incision infections. Effective protective measures to control the risk factors, and the rational use of antimicrobial drugs are effective in reducing infection rates and may contribute to the early recovery of the elderly patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第19期4702-4703,4706,共3页
Chinese Journal of Nosocomiology
基金
河南省教育科学"十二五"规划立项课题(2011-JKGHAD-0206)
关键词
老年患者
胃肠手术
切口感染
药敏
对策
Elderly patient Gastrointestinal surgery Incision infectionl Drug susceptibility Countermeasure
