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目的分析外科手术后医院感染特点,探究预防措施。方法采取前瞻性与回顾性调查相结合的方法对某院外科2298例住院患者手术后医院感染情况进行调查分析。结果外科手术后医院感染率为2.70%,例次感染率为3.09%;Ⅰ、Ⅱ、Ⅲ类切口手术后医院感染率差异无统计学意义(P>0.05);医院感染部位构成以下呼吸道居首(61.97%),其次为手术部位(23.94%)。结论为减少手术后医院感染的发生,应改善肺功能,尽早拔除气管插管,缩短手术持续时间及术前住院日,严格遵守无菌技术操作规范,加强术后护理,合理使用抗菌药物。
Objective To analyze the characteristics of nosocomial infection after surgery and explore the preventive measures. Methods A prospective and retrospective study was conducted to investigate the hospital infection of 2298 hospitalized patients after surgery in a hospital. Results The rate of nosocomial infection was 2.70% after surgical operation, and the rate of nosocomial infection was 3.09%. There was no significant difference in nosocomial infection rate after operation of type Ⅰ, Ⅱ and Ⅲ (P> 0.05) (61.97%), followed by the surgical site (23.94%). Conclusion In order to reduce the incidence of nosocomial infections after surgery, pulmonary function should be improved. Endotracheal intubation should be withdrawn as soon as possible to shorten the duration of surgery and preoperative hospital stay. Strict compliance with the operating rules of aseptic techniques should be strengthened to enhance postoperative care and rational use of antimicrobial agents.