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中文摘要: 目的：通过对某综合医院非计划再次手术患者特点、疾病组分布及发生院内感染相关资料分析，探索减少非计划再次手术及院内感染途径。方法：回顾性分析某三级甲等综合医院2017年1月至2020年8月318例非计划再次手术患者的临床资料，按照是否发生院内感染分为感染组和非感染组，对两组患者资料进行比较。结果：共回顾性分析102 332例手术患者的临床资料，其中318例发生非计划再次手术，在各疾病组中分布存在差异。其中感染组91例，非感染组227例，感染组和非感染组患者在住院天数、手术间隔时间等存在显著差异（P < 0.05）。院内感染类型以手术部位感染占比最高，病原菌以革兰阴性肠杆菌占多数。结论：非计划手术患者术前院内感染发生率高，加强院内感染的预防与控制对减少非计划再次手术的发生及不良影响有重要意义。
Abstract:Objective：To explore the methods of reducing unplanned reoperation and nosocomial infection by analyzing the characteristics，distribution of disease groups and the occurrence of nosocomial infection in a certain general hospital. Methods：The clinical data of 318 patients with unplanned reoperation from January 2017 to August 2020 were retrospectively analyzed in acertain grade A tertiary general hospital. According to the occurrence of nosocomial infection，the patients were divided into the infected group and the non-infected group，and the data of the two groups were compared. Results：A total of 102，332 patients were retrospectively analyzed，318 cases were taken unplanned reoperation，infection group and non infected group were different in disease distribution，hospitalization days，operation time interval（P < 0.05）. Among them，91 cases were in the infection group and 227 cases were in the non-infection group. The most common type of nosocomial infection was surgical site infection，and the majority of pathogenic bacteria were Gram-negative Enterobacter. Conclusion：The incidence of nosocomial infection in patients undergoing unplanned operation is high. It is of great significance to strengthen prevention and control of nosocomial infection to reduce the occurrence and effects of unplanned reoperation.
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基金项目:江苏省现代医院管理研究中心基金资助项目（JSY-3-2019-098）；常州市卫健委青年人才科技基金资助项目（QN202019） 江苏省现代医院管理研究中心基金资助项目（JSY-3-2019-098）；常州市卫健委青年人才科技基金资助项目（QN202019）
引用文本：
狄 佳,张丽伟,王海涛,江淑芳,李雪梅,刘 惕,冯诚怿,杨 敏*.318例非计划再次手术及发生医院感染特点分析△[J].江苏卫生事业管理,2022,33(8):1037-1042.
DI Jia,ZHANG Liwei,WANG Haitao,JIANG Shufang,LI Xuemei,LIU Ti,FENG Chengyi,YANG Min*.Analysis of the Causes of 318 Cases undergone Unplanned Reoperation and the Characteristics of Nosocomial Infection△[J].Jiangsu Health System Management,2022,33(8):1037-1042.
狄 佳,张丽伟,王海涛,江淑芳,李雪梅,刘 惕,冯诚怿,杨 敏*.318例非计划再次手术及发生医院感染特点分析△[J].江苏卫生事业管理,2022,33(8):1037-1042.
DI Jia,ZHANG Liwei,WANG Haitao,JIANG Shufang,LI Xuemei,LIU Ti,FENG Chengyi,YANG Min*.Analysis of the Causes of 318 Cases undergone Unplanned Reoperation and the Characteristics of Nosocomial Infection△[J].Jiangsu Health System Management,2022,33(8):1037-1042.
