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目的总结颅脑清洁手术患者手术部位感染目标性监测的效果。方法制定并执行监测方案,收集A、B两个脑外科病区手术部位感染相关资料,分析其危险因素。结果共监测颅脑清洁手术780例,发生院内感染132例,总感染率为16.92%。其中,手术部位感染率28.79%。手术时间、ASA评分、术前外周血白细胞计数和手术医生职称是手术部位感染的危险因素(P<0.05)。A病区手术部位感染率低于B病区(2.74%vs.6.42%)(P<0.05)。结论颅脑手术患者院内感染发生率较高。通过有效的目标性监测,发现感染的危险因素并采取适当的干预措施,可以降低手术部位感染的发生率。
Objective To summarize the effect of targeted monitoring of surgical site infection in patients with craniocerebral cleaning. Methods To develop and implement a monitoring program to collect relevant data of surgical site infections in A and B brain surgery wards and analyze the risk factors. Results A total of 780 cases of craniocerebral cleaning were monitored. There were 132 cases of nosocomial infection with a total infection rate of 16.92%. Among them, surgical site infection rate of 28.79%. The operation time, ASA score, preoperative peripheral blood leukocyte count and surgeon’s job title were the risk factors for surgical site infection (P <0.05). The infection rate of surgical site in area A was lower than that in area B (2.74% vs.6.42%) (P <0.05). Conclusion The incidence of nosocomial infection in patients with craniocerebral surgery is higher. Through effective targeted surveillance, detection of risk factors for infection and appropriate interventions can reduce the incidence of surgical site infection.