某院妇科手术部位感染目标性监测及干预
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孙庆芬

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R619+.3

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Targeted monitor and intervention strategies on surgical site infection following gynecological surgical procedure
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    摘要:


    目的了解某院妇科手术部位感染(SSI)现状,分析可能的危险因素,探讨降低SSI发病率的有效措施。方法2011年1月1日—12月31日,对该院两个妇科病区行剖腹子宫切除术、阴式子宫切除术、腹腔镜下子宫切除术的所有患者进行监测,定期汇总分析,比较采取干预措施前(2011年1月1日—6月30日监测的病例,设为对照组)和干预措施落实后(2011年7月1日—12月31日监测的病例,设为干预组)的SSI率。结果 对照组共1 120例患者,其中剖腹子宫切除术648例,SSI率为4.94%;阴式子宫切除术212例,SSI率为9.43%;腹腔镜下子宫切除术260例,未发生SSI。干预前妇科病区平均SSI率为4.64%(52/1 120),两个妇科病区平均SSI率(5.38% vs 4.00%)对比,差异无统计学意义(χ2=1.206,P>0.05);采取针对性干预措施后,干预组SSI率下降至1.57%(20/1 272),显著低于对照组的4.64%(χ2=19.23,P<0.001)。结论 采取目标性监测方式,对监测项目的危险因素进行汇总分析,并采取针对性的干预措施,能够达到降低SSI率的目的。

    Abstract:

    ObjectiveTo realize surgical site infection (SSI) following gynecological surgical procedure, analyze the possible risk factors, and explore effective measures on reducing the incidence of SSI.MethodsFrom January 1 to December 31,2011, patients receiving abdominal hysterectomy, vaginal hysterectomy, and laparoscopic hysterectomy in two gynecological departments of a hospital were monitored, SSI rates before intervention(from January 1 to June 30,2011, control group) and after intervention(from July 1 to December 31,2011, intervention group) were analyzed and compared.ResultsA total of 1 120 patients were in control group, including 648 cases of abdominal hysterectomy, SSI rate was 4.94%; 212 vaginal hysterectomy, SSI rate was 9.43%; 260 laparoscopic hysterectomy, there was no SSI; the average SSI rate in two departments was 4.64%(52/1 120), SSI rate between two departments was not significantly different(5.38% vs 4.00%, χ2=1.206,P>0.05), the average SSI rate in intervention group was significantly lower than control group (1.57%[20/1 272] vs 4.64%, χ2=19.23,P<0.001).ConclusionThrough targeted monitor, risk factors are analyzed, intervention measures are performed,and SSI can be reduced.

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张亚军,孙庆芬,顾彩霞,等.某院妇科手术部位感染目标性监测及干预[J]. 中国感染控制杂志,2013,12(3):205-207. DOI:10.3969/j. issn.1671-9638.2013.
ZHANG Yajun, SUN Qingfen, GU Caixia, et al. Targeted monitor and intervention strategies on surgical site infection following gynecological surgical procedure[J]. Chin J Infect Control, 2013,12(3):205-207. DOI:10.3969/j. issn.1671-9638.2013.

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  • 收稿日期:2012-08-28
  • 最后修改日期:2012-11-02
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  • 在线发布日期: 2013-05-30
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