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手术部位感染(SSI)是外科最常见的术后并发症,涉及医疗质量和医疗安全。手术难度和复杂程度的提高,同时微创外科、加速康复外科的快速发展等均对SSI预防提出了新的挑战。尽管国内外提出多个针对手术部位感染预防的指南,但其发生率并无明显变化。关于预防SSI,特别是相关措施如加强围手术期营养支持、强化血糖控制、术前肠道准备、术中术后液体治疗量和控制超重肥胖等环节应用,均有指南推荐或实施方案,但循证医学证据级别和具体内容不同。SSI的预防应从各个相关角度着手,引起社会及医院各方面的重视,针对性制定并推广规范化的诊治措施,并设法提高指南意见在医护人员及病人中的依从性。
Surgical site infection (SSI) is the most common postoperative surgical complications involving medical quality and medical safety. The difficulty of surgery and the increase of the complexity, meanwhile minimally invasive surgery and accelerating the rapid development of rehabilitation surgery all pose new challenges to the prevention of SSI. Although several guidelines have been proposed for the prevention of infection at the surgical site both at home and abroad, the incidence has not changed significantly. Guidelines for the prevention or treatment of SSI, especially related measures such as perioperative nutritional support, intensive glycemic control, preoperative bowel preparation, intraoperative and postoperative fluid therapy and control of overweight and obesity, are recommended or implemented in the guidelines Evidence-based evidence of evidence of different levels and specific content. The prevention of SSI should start from all relevant aspects, arouse the attention of all sectors of society and hospitals, and formulate and promote standardized diagnosis and treatment measures, and try to improve the compliance of guidelines with medical staff and patients.