摘要
目的观察集束化管理措施在普外科手术中的应用效果。方法 2015年1月—2016年12月普外科实施集束化管理措施170例普外科患者作为观察组,2013年1月—2014年12月普外科常规手术150例患者作为对照组,对照组按照普外科手术常规进行术前准备,观察组实施下列集束化管理措施:提高控制切口感染意识、评估切口感染危险因素、加强手术室管理、合理应用抗生素、避免切口感染危险因素、开展切口感染目标性监测。结果观察组应用抗生素82.35%,其中合理使用抗生素95.71%;对照组抗生素使用94.67%,合理使用抗生素84.51%,观察组抗生素使用率低于对照组(P<0.05),合理使用抗生素高于对照组(P<0.05);观察组发生切口感染1.18%低于对照组4.67%(P<0.05)。结论普外科手术切口感染发生的原因是多方面的,通过集束化管理措施,能够正确应用抗生素,降低普外科切口感染发生率。
Objective This paper tries to observe the effect of cluster intervention in operation in the department of general surgery. Methods 170 cases of patients in the department of general surgery from January 2015 to December 2016 with the implementation of cluster intervention measures were selected as the observation group, 150 patients from January 2013 to December 2014 in the department of general surgery with routine surgery were selected as the control group. The control group adopted routine preoperative preparation according to the general surgery operation, the observation group implemented the following cluster intervention measures： improving the awareness and assessment of incision infection, the risk factors, strengthening the management of operation room, rationally using antibiotics, avoiding the targeted monitoring risk factors, infection monitoring of incision wound. Results 82.35% of the observation group adopted antibiotics, 95.71% of the rational use of antibiotics; 94.67% of the control group used antibiotics, 84.51% of rational use of antibiotics, the antibiotic use rate of the observation group was lower than the control group（P〈0. 05）, the rational use of antibiotics was higher than that of control group（P〈0. 05）; wound infection in the observation group was 1.18%, lower than the control group of 4.67%（P〈0. 05）. Conclusion There are many reasons for surgical incision infection in department of general surgery. The application of cluster intervention can help to correctly use the antibiotics and reduce the incidence of infection in general incision.
出处
《中国卫生产业》
2017年第28期6-8,共3页
China Health Industry
关键词
普外科
集束化管理
切口感染
Department of general surgery
Cluster management
Incision infection
作者简介
金文标（1971-）,男,江苏射阳人,本科,副主任医师,研究方向：普外科.
