摘要
目的调查剖宫产手术部位感染罹患率增高的危险因素,采取干预措施控制手术切口感染。方法产科发生2例剖宫产手术部位感染引起医疗纠纷后,立即调查产科、外科当月手术罹患率,寻找可能引起感染的原因,同时进行目标性监测,对剖宫产手术部位感染高危因素进行临床干预,并观察干预效果。结果 2011年12月产科81例剖宫产手术部位感染罹患率为8.64%,392例外科手术部位感染罹患率为1.53%,二者比较差异有统计学意义(P<0.01);多种因素导致该次剖宫产手术部位感染罹患率增高,手术医师在手术过程中一些不规范的操作是剖宫产手术部位感染的高危因素;采取综合干预措施后,2012年1-5月产科共行剖宫产手术320例,手术部位感染率与同期外科比较差异无统计学意义,与2011年12月比较均有不同程度降低,感染率分别为1.72%、1.41%和0,特别是近3个月无感染病例发生,差异有统计学意义(P<0.05),临床干预及时有效。结论剖宫产手术部位感染的发生涉及多个环节、多种因素,必须采取多种干预措施多环节预防控制,才能保障医疗安全。
OBJECTIVE To investigate the risk factors for the increase in the incidence of surgical site infections due to the cesarean section so as to take intervention measures to control the surgical incision infections.METHODS The surgical site infections occurred in 2 cases in obstetrics department,which led to the medical disputes,then the incidence rates of surgical site infections were investigated in obstetrics department and surgery department in the current month.The causes of the infections were tracked,a targeted monitoring was carried out,the clinical interventions were implemented for the high risk factors for the cesarean section surgical site infections,the effects of the interventions were observed.RESULTS In Dec 2011,the cesarean section operation site infections occurred in 81 patients in the obstetrics department with the prevalence rate of 8.64%,392 cases in the surgery department with the prevalence rate of 1.53%,the difference was statistically significant（P 0.01）,there were many factors resulting in the increase in the incidence of cesarean section operation site infections,the irregular operations of the surgeons were the high risk factors.After the implementation of comprehensive interventions,totally 320 patients underwent the cesarean section in the obstetrics departments in Jan-May 2012,the difference in the incidence of surgical site infections was not statistically significant as compared with the surgery department,the incidence rates decreased in varying degrees as compared with that in Dec 2011,which were 1.72%,1.41%,and 0,respectively,there were no cases of infections within particularly recent three years,the difference was statistically significant（P0.05）,with the clinical inventions timely and effective.CONCLUSION There are many links and factors involved in the incidence of the cesarean operation site infections,therefore,it is necessary to adopt multiple interventions for the multi-link prevention and control so as to ensure the medical safety.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第21期4788-4790,共3页
Chinese Journal of Nosocomiology
关键词
剖宫产
手术部位
感染
监测
干预
Cesarean section
Surgical site
Infection
Monitoring
Intervention
