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目的研究中医院住院手术患者术后切口感染的相关因素,以便采取护理干预对策。方法采取回顾性分析方法,对某中医院住院手术患者术后切口感染临床资料进行统计分析,研究手术部位感染相关危险因素,提出干预对策。结果该中医院在2013年度共实施手术治疗患者680例,发生手术后切口感染35例,感染率5.15%。单因素分析结果显示,患者年龄、体重指数、手术时间、手术性质等因素和伴随基础疫病都是影响手术室切口感染的主要危险因素。多因素分析显示,手术性质、手术地点和伴随基础病等是手术室切口感染的独立危险因素。结论该医院手术患者术后切口感染率较高,危险因素较多,严格无菌操作和加强基础护理是主要干预对策。
Objective To study the related factors of postoperative incision infection in hospitalized patients in Chinese medicine hospital in order to adopt nursing intervention measures. Methods The retrospective analysis method was used to analyze the clinical data of incisional wound infection in hospitalized patients in a Chinese medicine hospital to study the risk factors related to surgical site infection and to propose intervention measures. Results The hospital implemented a total of 680 surgical patients in 2013, and 35 cases were incisional wounds after operation, the infection rate was 5.15%. Univariate analysis showed that age, body mass index, operation time, the nature of surgery and other factors associated with the underlying diseases were the main risk factors affecting the incision infection in the operating room. Multivariate analysis showed that the nature of the operation, the site of operation and the accompanying underlying diseases were independent risk factors for incisional wound infection in the operating room. Conclusion The surgical incision infection rate in this hospital is high, with many risk factors. Strict aseptic operation and strengthening basic nursing are the main intervention measures.