手術(shù)室腹部手術(shù)患者切口感染的相關(guān)因素分析與預(yù)防對(duì)策
發(fā)布時(shí)間:2018-07-15 14:35
【摘要】:目的分析造成手術(shù)患者腹部切口感染的手術(shù)室相關(guān)因素并探討預(yù)防其發(fā)生的對(duì)策,為臨床治療提供參考依據(jù)。方法選擇2015年1月-2016年10月醫(yī)院住院接受腹部手術(shù)治療的1 568例患者為研究對(duì)象,回顧性分析其臨床資料,分析感染切口的病原菌;對(duì)患者切口感染的危險(xiǎn)因素進(jìn)行單因素和多因素分析。結(jié)果 1 568例患者中,出現(xiàn)切口感染的患者有34例,感染率為2.17%;多因素logistic結(jié)果顯示,患者年齡≥60歲、急診手術(shù)、普通手術(shù)室、參觀手術(shù)人數(shù)≥3人、手術(shù)時(shí)間≥2h、接臺(tái)手術(shù)是腹部手術(shù)患者發(fā)生切口感染的獨(dú)立危險(xiǎn)因素(P0.05);共檢出34株病原菌,以革蘭陰性菌為主,共17例占50.00%。結(jié)論本研究通過對(duì)腹部手術(shù)患者的臨床資料進(jìn)行分析,探究引起腹部切口感染的危險(xiǎn)因素和病原學(xué)特點(diǎn),以幫助臨床醫(yī)師根據(jù)發(fā)生切口感染的危險(xiǎn)因素采取措施,以預(yù)防感染的發(fā)生。
[Abstract]:Objective to analyze the related factors of abdominal incision infection in surgical patients and to explore the countermeasures to prevent the infection in order to provide reference for clinical treatment. Methods from January 2015 to October 2016, 1 568 patients who received abdominal surgery in hospital were selected as study objects. The clinical data and pathogenic bacteria of infected incision were analyzed retrospectively. The risk factors of wound infection were analyzed by univariate and multivariate analysis. Results among the 1 568 patients, 34 had incisional infection and the infection rate was 2.17.The results of multivariate logistic showed that the age of the patients was more than 60 years, the emergency operation, the general operating room, and the number of patients visiting the operation were more than 3. Operation time 鈮,
本文編號(hào):2124398
[Abstract]:Objective to analyze the related factors of abdominal incision infection in surgical patients and to explore the countermeasures to prevent the infection in order to provide reference for clinical treatment. Methods from January 2015 to October 2016, 1 568 patients who received abdominal surgery in hospital were selected as study objects. The clinical data and pathogenic bacteria of infected incision were analyzed retrospectively. The risk factors of wound infection were analyzed by univariate and multivariate analysis. Results among the 1 568 patients, 34 had incisional infection and the infection rate was 2.17.The results of multivariate logistic showed that the age of the patients was more than 60 years, the emergency operation, the general operating room, and the number of patients visiting the operation were more than 3. Operation time 鈮,
本文編號(hào):2124398
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