普外科患者术后院内感染的危险因素分析

的分析普外科腹部术后院内感染的危险因素。方法对2010年1月至2011年12月重庆市綦江区人民医院普外科腹部术后129例院内感染患者的临床资料进行回顾性分析,了解院内感染的相关危险因素。结果普外科腹部术后院内感染的发生率为13．62％（129／947）,以腹部切口感染率最高,达58．14％（75／129）;患者年龄、手术时间、卧床时间、导管留置时间、住院时间、手术方式、术前营养状况、是否伴有慢性基础性疾病等是导致院内感染的危险因素;感染组和非感染组的年龄、手术时间、卧床时间、导管留置时间和住院时间比较差异有统计学意义（P〈Q05）。结论影响腹部术后院内感染的危险因素较多,预防是降低院内感染的重要手段和有效途径,降低院内感染不仅有利于患者术后顺利康复,减少患者和家庭的心理和经济负担。

Risk factor analysis of nosocomial infection in patients of general surgery

Objective To analyze the risk factors of nosocomial infection in patients of general surgery after abdominal opera- tion. Methods Data of 947 patients who accepted abdominal operation of general surgery during Jan. 2010 and Dec. 2011 were retrospected and analyzed statistically. Results The rates of nosocomial infeetion in patients of general surgery after ab- dominal operation was 13. 62% （129/947）. The most common infectious site was surgery incision（58. 14% ）. The occurrence of nosocomial infections was associated with the patients＇age,operation duration,time of lying in bed postoperatively,catheter in- dwelling catheter time postoperatively,hospital stays,operation method,preoperative nutrition and whether chronic disease. The patients＇age, operation duration, time of lying in bed postoperatively, catheter indwelling catheter time postoperatively and hospital stays of infection group were statistical significance compared of those of non - infection group （P 〈 0. 05）. Conclusions There are many risk factors of nosocomial infection in patients of general surgery after abdominal operation,prevention is the important means and effective way to reduce the nosocomial infection. Reduce the nosocomial infection is not only beneficial to the postoperative recover smoothly, reduce the psychological and economic burden of patients and families.