普通外科腹腔镜手术患者切口感染监测
作者:
作者单位:

作者简介:

陆桂皎

通讯作者:

中图分类号:

R619+.3

基金项目:


Monitoring on surgical site infection following laparoscopic surgery in patients in department of general surgery
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的了解普通外科腹腔镜手术患者切口感染情况及影响因素,以采取有效措施降低切口感染率。方法主动监测某院2013年1月1日—12月31日普通外科401例腹腔镜手术患者切口感染情况,并对患者手术切口感染危险因素进行单因素和多因素分析。 结果401例手术患者,12例发生切口感染,感染发病率为2.99%。单因素分析结果显示,老年患者、急诊手术、感染切口、胃肠道手术以及ASA评分Ⅳ级是腹腔镜手术患者切口感染的危险因素(均P<0.05)。经多因素logistic回归分析,结果显示老年患者[OR 95%CI:5.02(1.38~30.25)] 、急诊手术[OR 95%CI:4.37(1.96~28.55)]、感染切口[OR 95%CI:7.27(2.54~25.05)]、胃肠道手术[OR 95%CI:8.13(1.38~18.33)]是普通外科腹腔镜手术切口感染的高危险因素(均P<0.05)。结论普通外科腹腔镜手术切口感染的影响因素较多,需采取多种防控措施降低术后切口感染的发生率。

    Abstract:

    ObjectiveTo explore the status and influencing factors of surgical site infection (SSI) following laparoscopic surgery in patients in department of general surgery, so as to take effective measures to reduce SSI.MethodsActive monitoring method was used to survey SSI among 401 patients undergoing laparoscopic surgery from January 1, 2013 to December 31, 2013, univariate analysis and multivariate analysis on risk factors for SSI were conducted.ResultsOf 401 investigated patients, 12 (2.99%) developed SSI. Univariate analysis showed that risk factors for SSI in patients with laparoscopic surgery were  elderly patients, emergency operation, infected wound, gastrointestinal tract operation, and grade Ⅳof ASA score (all P<0.05).Multivariate logistic regression analysis revealed that elderly patients (OR, 5.02[95%CI,1.38-30.25]), emergency operation (OR,4.37 [95%CI,1.96-28.55]), infected wound (OR,7.27[95%CI,2.54-25.05]), and gastrointestinal tract operation  (OR,8.13 [95%CI,1.38-18.33])were high risk factors for SSI following laparoscopic surgery(all P<0.05).ConclusionThere are multiple factors influencing SSI after laparoscopic surgery, diversified prevention and control measures can effectively reduce the incidence of postoperative SSI.

    参考文献
    相似文献
引用本文

黄定桂,陆桂皎,施雅文,等.普通外科腹腔镜手术患者切口感染监测[J]. 中国感染控制杂志,2015,14(11):746-748. DOI:10.3969/j. issn.1671-9638.2015.11.007.
HUANG Dinggui, LU Guijiao, SHI Yawen, et al. Monitoring on surgical site infection following laparoscopic surgery in patients in department of general surgery[J]. Chin J Infect Control, 2015,14(11):746-748. DOI:10.3969/j. issn.1671-9638.2015.11.007.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2014-12-02
  • 最后修改日期:2015-02-12
  • 录用日期:
  • 在线发布日期: 2015-11-30
  • 出版日期: