摘要
目的分析普外科术后切口感染相关因素,进一步提出相关的预防措施。方法 128例普外科手术患者,将术后有无发生切口感染分为感染组(54例)和非感染组(74例),分析发生切口感染的因素进行归纳分析,并提出相关预防措施。结果感染组年龄>60岁、ASA分级(Ⅳ级)、急诊手术、手术时间>4 h切口类型(Ⅲ类)因素发生率为70.37%、48.15%、75.93%、53.70%、35.19%,低于非感染组患者的16.22%、14.86%、31.08%、18.92%、10.81%,差异有统计学意义(P<0.05)。结论普外科术后切口感染和高龄、ASA分级高、急诊手术、手术时间长、切口大等因素密切相关,需加强术前准备,合理选择时机,严格控制手术时间以及术后护理营养支持治疗工作等,从而使术后切口感染的发生得到有效控制。
Objective To analyze the related factors of postoperative incision infection factors in general surgery department, so as to put forward corresponding prevention measures. Methods A total of 128 surgical patients in general surgery department were divided by postoperative incision infection situations into infection group （54 cases） and non-infection group （74 eases）. Factors of incision infection were concluded and analyzed to pot forward corresponding prevention measures. Results The infection group had proportion of aged more than 60 years old, ASA classification （grade Ⅳ）, emergency operation, operation time 〉4 h and incision types （type Ⅲ） as 70.37%, 48.15%, 75.93%, 53.70% and 35.19%, which were all lower than 16.22%, 14.86%, 31.08%, 18.92% and 10.81% in non-infection group, and their difference had statistical significance （P〈0.05）. Conclusion Postoperative incision infection factors in general surgery department is closely related to advanced age, high ASA grade, emergency operation, long operation time and large incision. Strengthening the preoperative preparation, reasonably choosing timing, strictly control the operation time and postoperative care nutrition support treatment should be done, so as to effectively control the occurrence of postoperative incision infection.
出处
《中国实用医药》
2017年第11期58-59,共2页
China Practical Medicine
关键词
普外科
术后切口感染
预防措施
General surgery department
Postoperative incision infection
Preventive measures
