west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "手术患者" 4 results
  • Targeted Supervision and Analysis of Surgical Site Infection

    ObjectiveTo analyze the relevant factors for surgical site infection. MethodsA total of 677 cases of surgery in one hospital from July 1 to December 31 in 2012 were surveyed (not including implant and cardiac intervention surgeries), which were divided into different groups according to the preoperative incision contamination level, and the postoperative healing of incisions were observed closely. After the patients were discharged, we investigated the situation of incisions by phone or periodic review, and forms were filled in on schedule. ResultsBy follow-up evaluation of the 677 cases, the incisions in 12 cases were infected and the infection rate was 1.77%. Polluted and infected (14.28%, 30.76%) incisions caused more infection than the clean and clean-polluted incisions (0.00%, 0.59%). The patients who stayed in hospital for 4 or more than 4 days before surgeries (infection rate was 4.55%) took more risk of infection than the patients whose preoperative time in hospital were 2-3 days (infection rate was 0.60%) and 1 or shorter than 1 day (0.68%). Perioperative use of antibiotics for longer than 72 hours will increase the risk of incision infection than those within 48 hours (7.69%, 0.00%; P=0.002). ConclusionSurgical site infection is related to the incision type. Shortening the preoperative in-hospital time will reduce the risk of infection. Long time use of antibiotics in perioperative period cannot prevent the postoperative infection effectively, but may increase the risk of infection.

    Release date: Export PDF Favorites Scan
  • 两种一次性医用条形帽戴法降低手术患者头部压疮的对比研究

    目的改进一次性医用条形帽戴法,预防手术患者头部急性压疮的发生。 方法选择2014年8月-10月行肝脏、胃肠手术的400例患者,术前均无压疮,入手术室时均戴有一次性医用条形帽。根据手术日期单双号分为观察组和对照组,每组各200例。对照组采用传统方法在患者进入手术室时戴上一次性医用条形帽,即缝合口位于前额和枕部。观察组将一次性医用条形帽的2条缝合口置于患者耳侧,然后将一次性医用条形帽的弹性边缘反折1 cm,即将一次性医用条形帽的缝合口朝外,弹性边缘位于发际处。两种方法均能完全包裹住患者头发,术中无手术帽脱落现象。术毕观察两组患者发生一次性医用条形帽引起的局部压疮情况。对发生压疮的患者采取解除局部压力,避免再次受压,保持局部表面平整干燥,适当按摩。 结果对照组发生压疮共9例,其中Ⅰ度压疮8例,Ⅱ度压疮1例,压疮发生率为4.5%;压疮部位均位于前额,面积为0.3 cm×1.0 cm~0.5 cm×1.3 cm。观察组发生压疮1例,为Ⅰ度压疮,压疮发生率为0.5%;压疮部位也位于前额,面积为0.2 cm×0.2 cm。两组患者的压疮发生率比较差异有统计学意义(P<0.05)。所有压疮患者经对症处理,1 d后均痊愈。 结论改进一次性医用条形帽戴法对预防手术患者头部局部压疮的发生有较好的临床效果,值得推广。

    Release date:2016-10-28 02:02 Export PDF Favorites Scan
  • Study on the application of process optimization in perioperative venous access management

    Objective To explore the application effect of process optimization in perioperative venous access management. Methods A total of 205 general surgery patients in the Operating Room of Cheng Du Shang Jin Nan Fu Hospital, West China Hospital of Sichuan University from April to May 2018 were selected as the control group, and 205 general surgery patients from June to August 2018 were selected as the observation group. The traditional management process was used in the control group, and the process optimization management was performed in the observation group. The establishment of venous access and related complications between the two groups of patients, as well as the satisfaction of patients and staff before and after the process optimization were compared. Results There was no significant difference in gender, age, education level, operation type, anesthesia method, operation duration, or intraoperative intravenous infusion channels between the two groups of patients (P>0.05). There was no statistically significant difference in gender, age, educational background, job title, job nature, or working years of the staff participating in the satisfaction survey before and after the process optimization (P>0.05). The rate of repetitive venous puncture (15.61% vs. 58.05%) and the idelness ratio of the intraoperative indwelling needle approach (10.73% vs. 52.20%) in the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). There was no statistically significant difference in the incidence of tube blockage, detubation, or phlebitis/exudation between the two groups (P>0.05). After process optimization, patient satisfaction (22.91±3.43 vs. 17.44±4.90) and staff satisfaction (28.17±2.56 vs. 20.65±3.71) were higher than before optimization, and the differences were statistically significant (P<0.05). Conclusions The process optimization of venous access management for perioperative patients can effectively reduce the rate of venous repeated venipuncture and the idelness ratio of the intraoperative indwelling needle approach, reduce invasive operations on patients, reduce the ineffective work of nurses, avoid the waste of medical resources such as manpower and materials, and improve the satisfaction of patients and staff. It is worthy of promotion and application.

    Release date:2022-01-27 09:35 Export PDF Favorites Scan
  • Characteristics and influencing factors of postoperative weight change in patients with esophageal cancer: A prospective longitudinal study

    ObjectiveTo longitudinally investigate the characteristics of postoperative weight changes in patients with esophageal cancer and analyze its influencing factors, which can provide certain guidance for nutritional intervention in patients with esophageal cancer. MethodsPatients with esophageal cancer who underwent surgical treatment at the Sichuan Cancer Hospital from December 2020 to February 2022 were prospectively included. The general information questionnaire and body composition analyzer were used to longitudinally investigate the patients’ weight and body composition before surgery (T0), 1 month after surgery (T1), 3 months after surgery (T2) and 6 months after surgery (T3), and the change characteristics were analyzed. The generalized estimating equation was used to analyze the influencing factors for postoperative weight changes in patients with esophageal cancer. ResultsA total of 130 patients were enrolled, including 110 males and 20 females, aged 42-79 (63.33±8.16) years. The weight and body composition of patients with esophageal cancer showed a continuous slow downward trend within 6 months after surgery. The weight loss rate of patients at 1, 3, and 6 months after surgery was 5.10%, 7.76%, and 9.86%, respectively. At the same time, the analysis results of the influencing factors for postoperative weight showed that patients with the following characteristics had more weight loss: female (β=−7.703, P=0.001), ≥60 years (β=−3.657, P=0.010), smoking (β=4.622, P=0.010), low tumor differentiation degree (β=4.314, P=0.039), and high frequency of eating (β=−3.400, P=0.008). ConclusionWeight loss is an important health problem for patients with esophageal cancer after surgery, and patients have a continuous downward trend in weight within 6 months after surgery. Medical staff should pay special attention to the patients who are female, ≥60 years, having smoking history and low tumor differentiation degree.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content