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目的通过对腹部手术切口感染因素的探究,得出相应的护理方法。方法选取2015年10月~2016年10月我院收治的定期体检患者500例,结合患者自身身体状况、手术以及用药具体情况,对切口感染的因素进行分析。结果患者的年龄≥60岁,ASA分级Ⅲ,血红蛋白水平<110 g/L、体重指数≥22、住院时间超过一周、有基础疾病方面的感染也可能与切口感染有关,差异有统计学意义(P<0.05);手术时间长超过2 h,手术过程有无注意无菌操作等,容易诱发感染;围手术期应用抗菌药对切口感染的并发有相关性。结论进行腹部手术的患者,切口感染的因素有很多,尤其注意围手术期的护理,观察相关的感染因素,给相应的护理措施,降低感染的发生率。
Objective To explore the factors of abdominal incision infection and draw the corresponding nursing methods. Methods 500 cases of regular physical examination admitted to our hospital from October 2015 to October 2016 were selected, and the factors of incision infection were analyzed according to their own physical condition, operation and medication. Results The age of patients ≥60 years, ASA grade Ⅲ, hemoglobin level <110 g / L, body mass index ≥22, hospital stay more than a week, there may be underlying disease infection and incision infection, the difference was statistically significant (P <0.05). The operation time was longer than 2 hours and the operation was focused on the aseptic operation, which could easily lead to infection. The application of antibacterials in perioperative period was associated with the incision infection. Conclusion In patients undergoing abdominal surgery, incision infection has many factors, with particular attention to perioperative nursing, observing the relevant infectious factors, giving appropriate nursing interventions and reducing the incidence of infection.