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目的:分析普外科术后感染的高危因素,提出相应的解决办法,为加强手术患者管理及用药提供指导。方法:选取2013年1月~2015年1月进行普外手术的患者1042例。将发生切口感染者为感染组,将未发生感染者为未感染组,分析术后感染的高危因素。结果:术后发生感染58例,感染率5.57%。主要感染部位为上呼吸道18.97%,血液17.24%,下呼吸道15.52%。影响普外科术后感染的因素分别年龄≥60岁、合并营养不良及基础疾病、手术时间>2h、合并侵入性操作、术后应用抗菌药物>7d、手术切口为Ⅱ~Ⅲ类、切口长度为3~10cm。其中,年龄≥60岁、手术时间>2h、合并侵入性操作、手术切口Ⅱ~Ⅲ类、应用抗菌药物为普外科术后感染的独立危险因素。结论:外科医生应结合患者情况制定合理的手术计划,综合处理,最大程度地降低术后感染。
OBJECTIVE: To analyze the risk factors of general surgery infection and to put forward corresponding solutions to provide guidance for strengthening the management and medication of surgical patients. Methods: A total of 1042 patients undergoing general surgery from January 2013 to January 2015 were selected. Incision infection will occur for the infection group, no infection was not infected group, analysis of high risk factors for postoperative infection. Results: 58 cases occurred postoperative infection, the infection rate was 5.57%. The main site of infection was upper respiratory tract 18.97%, blood 17.24%, lower respiratory tract 15.52%. The influencing factors of general surgery infection were age ≥ 60 years old, malnutrition and underlying diseases, operation time> 2h, combined with invasive operation, antibacterial drugs after operation> 7d, surgical incision Ⅱ ~ Ⅲ, incision length 3 ~ 10cm. Among them, the age ≥ 60 years old, operation time> 2h, with invasive operation, surgical incision Ⅱ ~ Ⅲ class, the application of antimicrobial drugs for general surgery infection independent risk factors. Conclusion: The surgeon should formulate a reasonable surgical plan according to the patient’s condition and treat it comprehensively to minimize the postoperative infection.