摘要
目的探讨急诊手术切口感染的相关因素,提出相应的预防对策,以降低急诊手术切口感染的风险。方法选取2006年1月-2012年11月收治的600例急诊手术患者作为研究对象,对患者发生切口感染的危险因素进行调查分析;采用SPSS15.0软件进行统计分析,计数资料采用χ2检验,计量资料采用t检验,对单因素分析中差异有统计学意义的相关变量进行二次分量的logistic回归分析。结果 600例手术患者发生切口感染19例,感染率为3.17%;单因素分析结果显示,手术室空气菌落数量、人员流动、器械清洁状况、无菌操作、手术室消毒状况、手术室温度、手术室相对湿度、体质量指数、合并糖尿病以及患者术中出血量与手术切口感染有关(P<0.05);多因素logistic回归分析结果显示,手术时间、出血量、手术室温度、无菌操作情况以及器械清洁情况、是否合并糖尿病是影响患者切口感染的独立危险因素。结论急诊手术切口感染的危险因素较多,针对相关危险因素进行干预及护理,有利于降低手术切口感染的发生。
OBJECTIVE To explore the related factors for incision infections in emergency surgery and put forward corresponding prevention countermeasures so as to reduce the risk for the incision infections.METHODS A total of 600patients who underwent the emergency surgery from Jan 2006to Nov 2012were enrolled in the study,then the risk factors for the incision infections were analyzed,the statistical analysis was performed with the use of SPSS15.0software,the count data were analyzed by using the chi-square test,and the measurement data were analyzed by mean of the t-test.RESULTS Of the 600patients who underwent the surgery,the incision infections occurred in 19cases with the infection rate of 3.17%.The result of univariate analysis showed that the bacterial colony counts in operating room,movement of persons,cleaning status of instruments,aseptic operation,disinfection of operating room,temperature in operating room,relative humidity in operating room,body mass index,complication of diabetes,and volume of intraoperative blood loss were related to the surgical incision infections（P＆lt; 0.05）.The result of the multivariate logistic regression analysis indicated that the operation duration,volume of blood loss,temperature in operating room,aseptic operation,cleaning status of instruments,and complication of diabetes were the independent risk factors for the incision infections.CONCLUSIONThere are a variety of risk factors for the incision infections in the patients undergoing emergency surgery,and it is necessary to take targeted nursing interventions in response to the related risk factors so as to reduce the incidence of surgical incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第9期2283-2284,2287,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(70773034)
关键词
急诊手术
切口感染
危险因素
预防措施
Emergency surgery
Incision infection
Risk factor
Prevention measure
