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基层医院普外手术切口感染相关因素及预防措施

     

摘要

目的:探讨基层医院普外手术引起切口感染的相关因素以及采取的预防措施.方法:回顾性分析我院自2008 年1 月至2011 年10 月收治的782 例普外科手术患者切口感染情况.结果:782 例普外手术患者发生切口感染例,感染率为6.01%.其中患者年龄、身体状况、切口类型、手术方式、手术时间、住院时间及手术室的环境等是造成切口感染的主要危险因素.结论:加强对危险因素的监控,净化手术室环境,强化无菌操作的观念,提高手术熟练程度和精度,缩短手术时间,减少术后放置引流管的机会,缩短住院时间,合理地预防使用抗生素等措施是有效控制切口感染的重要手段.%Objective: To explore incisional infection related factors and preventive measures in general surgery of primary hospital. Method:The condition on surgical wound infection were investigated by retrospective analysis from January 2008 to October 2011 of 782 cases general surgery patients. Result: The surgical wound infection rate was 6.01% in department of general surgery in our hospital. Age, physical condi-tion, classification of incision, operation method , operation time, hospital stays and operating room environment were the major risk factors of surgical wound infection among patients in department of general surgery. Conclusion: To strengthen the monitoring of the risk factors, purify the operating room environment, strengthen the sterile operation idea, improve the proficiency and precision, shorten the operation time, reduce postoperative placed the tube opportunity, shorter hospital stays, reasonable use of antibiotics to prevent and control measures is an important means of incision infection.

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