肝胆胰腺患者手术部位感染的危险因素分析

Related risk factors for surgical site infection in patients with liver and gallbladder surgery

  • 摘要: 目的 分析肝胆胰腺手术患者发生手术部位感染的相关危险因素,探讨临床护理策略,为临床控制术后感染提供参考依据。方法 选择医院2011年7月-2015年11月肝胆胰腺手术患者834例,回顾性分析发生手术部位感染患者的临床资料及感染相关因素,数据采用SPSS 11.0软件进行统计分析。结果 发生手术部位感染57例,感染率为6.83%;经logistic回归分析显示,年龄、术前血糖及肝功能异常、低血红蛋白、术前感染、手术切口类型、腹腔镜手术、急诊手术、手术持续时间、术中失血量、留置引流管时间和NISS评分等为肝胆胰腺手术患者发生手术部位感染的独立危险因素(P<0.05)。结论 患者发生手术部位感染的相关危险因素较多,临床积极加强护理并进行预防控制以减少感染发生率。

     

    Abstract: OBJECTIVE To analyze the risk factors of factors for surgical site infection in patients with liver and gallbladder surgery and discuss clinical nursing strategies, so as to provide the basis for clinical control of postoperative infection. METHODS A total of 834 cases of patients with liver and gallbladder surgery in our hospital were selected from Jul. 2011 to Nov. 2015. The clinical data and related influencing factors of infection were analyzed retrospectively. The data were analyzed by SPSS 11.0. RESULTS There were 57 cases of surgical site infection, with the infection rate of 6.83%. The logistic regression analysis showed that the age, preoperative blood glucose and liver function abnormalities, low hemoglobin, preoperative infection, surgical incision types, laparoscopic surgery, emergency surgery, surgical duration, intraoperative blood loss, indwelling drainage tube time and NISS score were the independent risk factors for the surgical site infection in patients with liver and gallbladder surgerys. CONCLUSION There are more risk factors in patients with surgical site infection. It should to strengthen nursing, prevention and control to reduce the incidence of infections.

     

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