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目的 调查继发性甲状旁腺功能亢进(甲旁亢)术中预防感染措施的现状并分析其原因.方法 回顾性调查中山一院2008年1月至2014年7月93例继发性甲旁亢手术患者在术中预防感染措施的使用情况,对术后感染的发生率进行调查统计,并对各种不同的预防感染措施与感染之间的相关性进行分析.结果 术中的手术野使用稀释的消毒液浸泡和创面护理液作为预防感染的措施比例较高,尤其是在超过2h的手术中,但和仅用生理盐水冲洗的方法比较,切口感染率差异无统计学意义(P>0.05).在使用抗生素方面,两组均未见超范围使用抗生素预防感染.结论 术中严格的无菌操作和无菌观念仍然是防止术后感染的关键,与术中应用消毒液或抗菌护理液处理创面关系不大.“,”Objective To investigate the current situation of the measures to prevent infection during surgeries for secondary hyperparathyroidism and analyze the casues. Methods Retrospectively survey the use of the measures to prevent infection during surgeries for secondary hyperparathyroidism in 93 patients in the hospital from January 2008 to July 2014. The incidence of postoperative infection was investigated;the relationship between different measures and infection were analyzed. Results Using diluted disinfectant and wound nursing liquid as measures to prevent infection had high percentage in all these measurements,especially in the surgeries over 2 h,but compared with saline flush only,there was no significant differences of incision infection rate. For the use of antibiotics ,there was no excessive use of antibiotics as measures to prevent infection. Conclusion Strict aseptic operation and aseptic concept during surgeries were still the keys for preventing postoperative infection ,and there was no relationship between the incidence of postoperative infection and the intraoperative use of disinfectant or antibiotic nursing liquid.