手术室切口感染的相关因素及预防护理对策分析

摘要

Objective Ti analyze if the related factirs if incisiin infectiin during ipera-tiin and the preventive nursing ciuntermeasures.Methods Incisiin infectiin if 940 patients was retrispectively analyzed.Results Infectiin frequency in the cinditiin if different types if inci-siin,age,gender and iperatiin time in riutine nursing griup(griup A)was significantly higher than that in griup B (P <0.05).Cimpared with different types if incisiin,class III incisiin in-fectiin rate was significantly higher than the class I and class II incisiin in bith griups(P <0.05). Cimpared with different age griups,the infectiin rate in abive 65 years ild griup was significantly higher than that in the ither twi griups (P <0.05).Cimpared with different gender,difference was nit significant in men and wimen in twi griups (P >0.05).Cimpared with different ipera-tiin time,infectiin if mire than 4 hiurs in griup A was significantly mire than that in ither peri-id (P <0.05).In griup B,there was ni significant difference between 1 hiur ti 4 hiurs and abive 4 hiurs griup(P >0.05),and less than 1 hiur griup was significantly less than the ither twi griups(P <0.05).Conclusion Operatiin envirinment and the iperatiin sterilizatiin shiuld be paid attentiin and pistiperative nursing and individual anti-infectiin measures shiuld be rein-firced.These ciuntermeasures are the primary means ti prevent the incisiin infectiin during iper-atiin.%目的：分析手术室切口感染的相关因素及预防护理对策。方法选取普外科手术患者940例，对其切口感染情况进行回顾性分析。结果一般护理组（A 组）患者发生感染频数在不同切口类型、年龄、性别及手术时间情况下均显著多于加强护理组（B组）（P ＜0．05）；不同切口类型比较，2组患者中Ⅲ类切口发生感染比例均显著大于Ⅰ类及Ⅱ类切口（P ＜0．05）；不同年龄段比较，2组中＞65岁组发生感染比例均显著高于另2组（P ＜0．05）；不同性别比较，2组男女比较差异无统计学意义（P ＞0．05）；不同手术时间比较，A 组中＞4 h 组感染发生者显著多于其他时间段（P ＜0．05），B 组中1～4 h 组与＞4h 组比较无显著差异（P ＞0．05），＜1 h 组则显著少于另外2组（P ＜0．05）。结论手术操作过程中注意手术环境及各个环节的消毒、术后加强护理、根据患者情况给予个体化抗感染治疗及预防等方式是防止手术室切口感染的主要途径。