剖宫产手术部位感染综合干预研究
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陈建萍

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R719.8R619+.3

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Comprehensive intervention in surgical site infection after caesarean section
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    摘要:

    目的 探讨综合干预模式对降低剖宫产手术部位感染的影响。方法按统一的纳入标准纳入研究对象,分为对照组(500例):某院2011年1—12月符合纳入标准的全部急诊行剖宫产手术的患者;干预组(501例):按照1∶1比例配对,2012年1—12月符合相应配对条件的急诊剖宫产手术患者,采取综合干预措施。比较两组手术部位感染率,以及采取综合干预模式后,剖宫产手术部位感染患者与非感染患者的平均住院时间和住院费用。结果综合干预后,外科洗手正确率由干预前的54.55%提高至90.48%;切口异常病原学送检率由18.42%提高至89.66%;发生切口感染后及时上报率由16.67%提高至80.00%,各项指标比较,差异均有统计学意义(均P<0.05)。干预组患者手术部位感染率为1.00%(5/501),对照组为3.60%(18/500),两组比较,差异有统计学意义(χ2=8.40,P<0.01)。23例手术部位感染患者平均住院时间为(16.61±4.81)d,显著长于978例非感染患者的(6.09±1.37)d(t=32.60,P<0.01);住院费用,感染患者为(7 042.43±1 229.57)元,显著高于非感染患者的(5 085.80±737.14)元(t=12.34,P<0.01)。结论采用综合干预模式可以有效降低剖宫产手术部位感染率,有效预警医院感染流行与暴发。

    Abstract:

    ObjectiveTo evaluate the influence of comprehensive intervention model on reducing surgical site infection(SSI) in patients with caesarean section. MethodsPatients were divided into two groups: control group included 500 patients who were undergone emergency caesarean in JanuaryDecember 2011; intervention group included 501 patients who were undergone emergency caesarean section in JanuaryDecember 2012, patients were matched in a 1∶1 ratio. SSI rates between two groups were compared, the average hospitalization days and hospitalization expense between infected patients and noninfected patients after comprehensive intervention were compared.ResultsAfter intervention, the rate of correct surgical handwashing increased from 54.55% before intervention to 90.48%; pathogenic detection rate increased from 18.42% to 89.66%; timely reporting rate of SSI increased from 16.67% to 80.00% (all P<0.05); SSI in intervention and control group was 1.00% (5/501) and 3.60% (18/500) respectively (χ2=8.40, P<0.01).The average length of hospital stay of 23 SSI patients was significantly longer than 978 noninfected patients ([16.61±4.81) d vs [6.09±1.37] d, t=32.60, P<0.01); hospitalization expense in SSI patients was significantly higher than noninfected patients ([7 042.43±1 229.57] yuan vs [5 085.80±737.14] yuan, t=12.34, P<0.01).ConclusionComprehensive intervention can effectively reduce SSI following caesarean section and warn the outbreak and epidemic of HAI.

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陈建萍,魏敏,梁帮强,等.剖宫产手术部位感染综合干预研究[J]. 中国感染控制杂志,2013,12(3):199-201. DOI:10.3969/j. issn.1671-9638.2013.
CHEN Jianping, WEI Min, LIANG Bangqiang, et al. Comprehensive intervention in surgical site infection after caesarean section[J]. Chin J Infect Control, 2013,12(3):199-201. DOI:10.3969/j. issn.1671-9638.2013.

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  • 收稿日期:2012-10-28
  • 最后修改日期:2013-01-12
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  • 在线发布日期: 2013-05-30
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