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目的探讨目标性监测及综合干预措施对减少剖宫产手术部位感染(SSI)的效果。方法对2011~2013年行剖宫产的7667例产妇进行SSI目标性监测,按卫生部《医院感染监测规范(WS/T312-2009)》中的手术风险分级标准,将手术分为0级、1级、2级。从2011年开始逐步实施综合干预措施。结果 2011~2013年,共发生SSI 303例(3.95%),其中深部手术切口感染146例(1.90%),宫内感染157例(2.05%);院内SSI 235例(3.07%),院外SSI 68例(0.89%)。SSI发生率及院内、深部切口、宫内感染率为2011年>2012年>2013年(P<0.05)。2011年、2012年、2013年院外感染率比较,差异无统计学意义(P>0.05)。0级、1级手术的SSI发生率为2011年>2012年>2013年(P<0.05)。2011年、2012年、2013年2级手术的SSI发生率比较,差异无统计学意义(P>0.05)。结论目标性监测及综合干预措施可明显降低剖宫产SSI发生率。
Objective To explore the effect of targeted monitoring and comprehensive interventions on reducing surgical site infection (SSI) in cesarean section. Methods 7667 maternal women who underwent cesarean section from 2011 to 2013 were monitored for SSI. According to the classification criteria of surgical risk in the nosocomial infection monitoring standard (WS / T312-2009) of Ministry of Health, the patients were divided into 0 grades, Level 1, Level 2 From 2011 onwards, the implementation of comprehensive interventions. Results A total of 303 SSI cases (3.95%) occurred in 2011-2013, of which 146 cases (1.90%) were infected with deep surgical incision, 157 cases (2.05%) were intrauterine infection, 235 were SSI in hospital (3.07%), Example (0.89%). The incidence of SSI and hospital, deep incision, intrauterine infection rates from 2011> 2012> 2013 (P <0.05). There was no significant difference in the rates of out-of-hospital infection between 2011, 2012 and 2013 (P> 0.05). The incidence of SSI for grade 0 and grade 1 surgery was from 2011> 2012> 2013 (P <0.05). There was no significant difference in the incidence of SSI between grade 2 and grade 2 in 2011, 2012 and 2013 (P> 0.05). Conclusion Targeted monitoring and comprehensive interventions can significantly reduce the incidence of SSI in cesarean section.