胃肠道手术围手术期体温保护对手术部位感染的影响

目的 探讨胃肠道手术围手术期体温保护对手术部位感染(SSI)的影响.方法 回顾性分析1536例于我院普外科接受胃肠道手术病例,将2006年7月以前收治的病例764例纳入对照组,将2006年7月以后收治的病例772例纳入观察组.观察组在常规围手术期护理基础上加以一系列体温保护措施,对照组仅接受常规围手术期护理.比较2组患者手术部位感染的发生情况. 结果 观察组患者SSI发生率显著低于对照组(P<0.01). 结论 胃肠道手术患者围手术期发生低体温可显著增加术后SSI发生率,采取适当保温措施可预防轻度低体温发生,防止手术部位感染.

Influence of perioperative protection from hypothermia on surgical site infection in patients under-going gastroenteritic operation

Objective To explore influence of perioperative protection from hypothermia on surgical site infection (SSI) in patients undergoing gastroenteritic operation. Methods A retrospective study was carried out in 1536 patients undergoing gastroenteritic operation in general surgery department of our hos-pital.Patients (764 cases) admitted before July 2006 were set as the control group,while those after July 2006(772 cases) were set as the observation group. The observation group received a series of measures for protection from hypothermia besides of routine perioperative nursing.The control group only adopted routine perioperative nursing.The SSI rate was compared between the two groups. Results The SSI rate of the observation group was lower than that of the control group(P < 0.01 ). Conclusions Incidence of periop-erative hypothermia in patients undergoing gastroenteritic operation can increase the SSI rate.Appropriate measures for protection from hypothermia can prevent the incidence of hypothermia as well as SSI.