【摘要】：目的分析普外科Ⅰ類手術術后切口感染的相關危險因素,為臨床預防感染提供參考。方法選取2011年1月-2017年2月醫(yī)院普外科行無菌手術患者11125例,對手術術后切口感染的相關危險因素進行單因素與多因素回歸分析,以確定引起普外科Ⅰ類手術術后切口感染的危險因素。結果 11125例普外科Ⅰ類手術術后發(fā)生切口感染97例,感染率為0.87%;單因素分析顯示,惡性腫瘤、糖尿病史、BMI值(≥25kg/m~2)、手術方式(開放)、切口大小(≥10cm)、手術時間(≥1h)、出血量(≥500ml)、切口引流、切口滲血、血紅蛋白濃度(90g/L)、血清白蛋白濃度(30g/L)、血糖(≥10mmol/L)均是普外科Ⅰ類手術術后切口感染的相關危險因素(P0.05),其中血糖(≥10mmol/L)、手術方式(開放)、手術時間(≥1h)、切口引流、切口滲血、血清白蛋白濃度(30g/L)、血紅蛋白濃度(90g/L)、BMI值(≥25kg/m~2)等是普外科Ⅰ類手術術后切口感染的獨立危險因素(P0.05)。結論普外科Ⅰ類手術術后切口感染與多個危險因素有關,臨床首先應做好術前準備,控制血糖、糾正低蛋白血癥與貧血;其次盡量采用微創(chuàng)治療手段,縮短手術時間;再次是術中徹底止血,減少不必要的引流,關注肥胖患者切口情況等為主的綜合措施,是有效降低普外科Ⅰ類手術術后切口感染的方法。
[Abstract]:Objective to analyze the risk factors of incision infection after class I surgery in general surgery, and to provide reference for clinical prevention of infection. Methods 11125 patients undergoing aseptic surgery in general surgery from January 2011 to February 2017 were selected. The risk factors of postoperative incision infection were analyzed by univariate and multivariate regression analysis in order to determine the risk factors of postoperative incision infection in general surgery. Results there were 97 cases of incision infection in 11125 cases of general surgery, the infection rate was 0.87%. Univariate analysis showed that malignant tumor, history of diabetes mellitus, BMI value (鈮，

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