【摘要】 目的研究分析综合干预对控制老年人食管癌手术部位感染的效果。方法方便选取该院2015年2月—2016年10月收治的200例进行食管癌手术老年患者为研究对象,随机分为对照组和实验组,每组患者各为100例。对照组进行常规治疗,实验组患者给予综合干预,前瞻性调查,进行目标性监测,调阅相关病历,根据实际情况提出改进方案,完善防止老年人食管癌手术部位感染对策。比较分析两组患者控制感染效果。结果经过对应治疗后,实验组患者中,4例患者发生手术部位感染(SSI),SSI发生率为4.0%。对照组患者中,9例患者出现手术部位感染,SSI发生率为9.0%。可得,实验组SSI发生率(4.0%)显著低于对照组(9.0%),差异有统计学意义(P<0.05)。对照组切口异常病原学送检率为52.00%显著低于干预后实验组送检率(86.00%),差异有统计学意义(P<0.05)。实验组切口感染上报率75.00%显著高于对照组上报率55.56%,差异有统计学意义(P<0.05)。结论综合干预对控制老年人食管癌手术部位感染临床效果较为理想,能够在很大程度上降低发生食管癌手术部位感染概率,提高医护人员防控感染意识,具有临床推广的意义。更多还原

【Abstract】 Objective To research and analyze the effect of comprehensive intervention in controlling the esophageal cancer operative site infection of senile patients. Methods 200 cases of senile patients with esophageal cancer admitted and treated in our hospital from February 2015 to October 2016 were convenient selected and randomly divided into two groups with100 cases in each, the control group and the experimental group respectively adopted the routine treatment and comprehensive treatment, and the related medical records were referred to, and the improvement plan was put forwards according to the practical conditions and the strategies of esophageal cancer operative site infection of senile patients were improved and the control infectious effect was compared between the two groups. Results After the corresponding treatment, the operative site infection and incidence rate of SSI in 4 cases in the experimental group was obviously lower than those in 9 cases in the control group(4.0% vs 9.0%), and the difference was statistically significant(P<0.05), and the submission rate of incision abnormal etiology in the control group was lower than that in the experimental group after intervention(52.00% vs86.00%), and the difference was statistically significant(P<0.05), and the report rate of cut length in the experimental group was obviously higher than that in the control group(75.00% vs 55.56%), and the difference was statistically significant(P<0.05).Conclusion The clinical effect of comprehensive intervention in controlling the esophageal cancer operative site infection of senile patients is ideal, which can greatly reduce the occurrence probability of esophageal cancer operative site infection and improve the infection prevention and control awareness, and it is of promotion significance.更多还原