142例外科手术切口感染调查分析

目的　了解外科手术切口感染的危险因素 ,采取有效控制措施。方法　调查本院 4 914例外科手术患者切口感染情况 ,对其感染率、危险因素进行分析。结果　 142例切口感染病例中 ,大于 60岁的高龄患者、男性患者、急症全麻手术患者及手术暴露时间长者感染率均明显增高 ,采用围手术期应用抗生素者感染率明显降低 (P <0 .0 0 5)。结论　手术切口感染与高龄手术或急症手术术前准备不充分、麻醉方式复杂、抗生素应用不合理等密切相关 ,并提出了相应的控制措施

Investigation and Analysis of 142 Cases with Incision Infection Aafter Surgery

Objective To study the risk factors of surgical incision infection, carry out the effective control measures.Methods Investigate the incision infection of 4914 patients with surgical operation and analyse the infectious rate and risk factors. Results Among 142 incision infection cases, the incision infection rates of patients over 60 years old, the male, the urgent general anethesia operation, patients undergone a long operation time, were significantly higher than the others. There was a lower infectious rate in perioperative antibiotics applying than in conventional antibiotics applying (P <0.005). Conclusion Incision infection is related to old age, decreasing body's immunity, unadequate preparation of urgent operation, compound anesthesia, a longer exporsure time during operation, unproper antibiotics applying and so on. And control measure is put forward accordingly.