Objective To realize surgical site infection (SSI) following gynecological surgical procedure, analyze the possible risk factors, and explore effective measures on reducing the incidence of SSI. Methods From January 1 to December 31 ,2011 , patients receiving abdominal hysterectomy, vaginal hysterectomy, and laparoscopic hysterectomy in two gynecological departments of a hospital were monitored, SSI rates before intervention(from January 1 to June 30,2011 , control group) and after intervention (from July 1 to December 31 ,2011 , intervention group) were analyzed and compared. Results A total of 1 120 patients were in control group, including 648 cases of abdominal hysterectomy, SSI rate was 4. 94%; 212 vaginal hysterectomy, SSI rate was 9. 43%; 260 laparoscopic hysterectomy, there was no SSI; the average SSI rate in two departments was 4. 64% (52/1 120), SSI rate between two departments was not significantly different(5. 38% vs 4. 00%, x2 = 1. 206, P＞0. 05), the average SSI rate in intervention group was significantly lower than control group (1. 57%[20/1 272] vs 4. 64% ,x2 = 19. 23,P＜0. 001). Conclusion Through targeted monitor, risk factors are analyzed, intervention measures are performed,and SSI can be reduced.%目的 了解某院妇科手术部位感染(SSI)现状,分析可能的危险因素,探讨降低SSI发病率的有效措施.方法 2011年1月1日-12月31日,对该院两个妇科病区行剖腹子宫切除术、阴式子宫切除术、腹腔镜下子宫切除术的所有患者进行监测,定期汇总分析,比较采取干预措施前(2011年1月1日-6月30日监测的病例,设为对照组)和干预措施落实后(2011年7月1日-12月31日监测的病例,设为干预组)的SSI率.结果 对照组共1 120例患者,其中剖腹子宫切除术648例,SSI率为4.94%;阴式子宫切除术212例,SSI率为9.43%;腹腔镜下子宫切除术260例,未发生SSI.干预前妇科病区平均SSI率为4.64%(52/1 120),两个妇科病区平均SSI率( 5.38% vs 4.00%)对比,差异无统计学意义(χ2=1.206,P＞0.05);采取针对性干预措施后,干预组SSI率下降至1.57%(20/1 272),显著低于对照组的4.64%(χ2=19.23,P＜0.001).结论 采取目标性监测方式,对监测项目的 危险因素进行汇总分析,并采取针对性的干预措施,能够达到降低SSI率的目的.
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