本文關(guān)鍵詞：肝膽胰腺患者手術(shù)部位感染的危險因素分析　出處：《中華醫(yī)院感染學(xué)雜志》2016年15期 　論文類型：期刊論文

  更多相關(guān)文章： 肝膽胰腺手術(shù) 手術(shù)部位感染 危險因素 臨床護(hù)理 預(yù)防控制

【摘要】：目的分析肝膽胰腺手術(shù)患者發(fā)生手術(shù)部位感染的相關(guān)危險因素,探討臨床護(hù)理策略,為臨床控制術(shù)后感染提供參考依據(jù)。方法選擇醫(yī)院2011年7月-2015年11月肝膽胰腺手術(shù)患者834例,回顧性分析發(fā)生手術(shù)部位感染患者的臨床資料及感染相關(guān)因素,數(shù)據(jù)采用SPSS 11.0軟件進(jìn)行統(tǒng)計分析。結(jié)果發(fā)生手術(shù)部位感染57例,感染率為6.83%;經(jīng)logistic回歸分析顯示,年齡、術(shù)前血糖及肝功能異常、低血紅蛋白、術(shù)前感染、手術(shù)切口類型、腹腔鏡手術(shù)、急診手術(shù)、手術(shù)持續(xù)時間、術(shù)中失血量、留置引流管時間和NISS評分等為肝膽胰腺手術(shù)患者發(fā)生手術(shù)部位感染的獨(dú)立危險因素(P0.05)。結(jié)論患者發(fā)生手術(shù)部位感染的相關(guān)危險因素較多,臨床積極加強(qiáng)護(hù)理并進(jìn)行預(yù)防控制以減少感染發(fā)生率。
[Abstract]:Objective to analyze the risk factors of surgical site infection in patients with hepatobiliary and pancreatic surgery, and explore clinical nursing strategies, so as to provide reference for clinical control of postoperative infection. Methods a total of 834 patients with hepatobiliary pancreatic surgery in November July 2011 -2015 were selected. The clinical data and infection related factors of patients with surgical site infection were retrospectively analyzed. The data were analyzed by SPSS 11 software. Results 57 cases of surgical site infection, the infection rate was 6.83%; the logistic regression analysis showed that age, preoperative blood glucose and abnormal liver function, low hemoglobin, preoperative infection, incision type, laparoscopic surgery, emergency operation, operation duration, intraoperative blood loss, drainage time and NISS score etc. independent risk factors for surgical site infection for patients with hepatobiliary and pancreatic surgery (P0.05). Conclusion there are many related risk factors for the patients with surgical site infection, and the nursing and prevention and control are actively strengthened in order to reduce the incidence of infection.
【作者單位】： 萊蕪市人民醫(yī)院普外科;萊蕪市人民醫(yī)院骨三科;萊蕪市萊城區(qū)牛泉中心衛(wèi)生院普外科;萊蕪市人民醫(yī)院供應(yīng)室;
【基金】：山東省衛(wèi)生廳科研基金資助項(xiàng)目(2011-169)
【分類號】：R473.6
【正文快照】： 肝膽胰腺外科手術(shù)是臨床常見治療方法,患者手術(shù)時間長、失血量大,術(shù)后侵入性操作較多,患者抵抗力降低,醫(yī)院感染的發(fā)生風(fēng)險增加。手術(shù)部位感染是患者常見的術(shù)后并發(fā)癥,可導(dǎo)致患者病情惡化,影響患者手術(shù)效果及術(shù)后的恢復(fù),延長住院時間,是患者失敗甚至死亡的重要原因。采取針對性，

本文編號：1346265