摘要
目的分析妇科腹腔镜术后感染的相关因素及其防御对策,以减轻其术后感染率。方法回顾性分析2009年7月-2012年7月1988例行妇科腹腔镜手术患者的临床资料,调查妇科腹腔镜术后感染,分析术后感染的相关因素,并提出防御对策。结果共有99例患者发生医院感染,感染率为4.98%;其中下呼吸道感染69例,占69.70%;切口感染30例,占30.30%,下呼吸道感染发生率显著高于切口感染,差异有统计学意义(P<0.05);卵巢肿瘤和宫颈癌患者术后感染率分别为6.19%、10.94%,比其他类型疾病感染率高;有糖尿病和慢性支气管炎并发症的患者感染率分别为9.09%、17.45%,比有高血压患者的感染率(4.63%)高;急诊患者感染率为10.02%,择期行腹腔镜术的感染率为3.11%;手术时间<120min患者的感染率为3.32%,手术时间>120min的感染率为8.28%;两组比较差异均有统计学意义(P<0.05);妇科腹腔镜术后发生感染的危险因素为卵巢肿瘤、宫颈癌、糖尿病、慢性支气管炎、急诊和手术时间>120min。结论做好术前准备工作、严格执行操作规程、加强无菌操作、医疗器械消毒、保持病房干净整洁、适宜的治疗护理措施,可有效减轻妇科腹腔镜术后感染的概率。
OBJECTIVE To analyze the correlative factors of nosocomial infections after gynecological laparoscopy so as to put forward the prevention measures so as to reduce the incidence of postoperative infections.METHODS A total of 1988 cases of patients who underwent gynecological laparoscopy from Jul.2009 to Jul.2012 were retrospectively analyzed,the infections were investigated after the gynecological laparoscopy,the related factors were analyzed,and the prevention countermeasures were put forward.RESULTS Totally 99 patients were infected,and the infection rate was 4.98%.There were 69（69.70%） patients with the lower respiratory tract infections and 30（30.30%） patients with the incision infections,the incidence rate of lower respiratory tract infections was higher than that of the incision infections.The infection rates of the patients with ovarian tumor and the patients with cervical carcinoma were 6.19% and 10.94%,higher than that of the patient with other diseases.The infection rates of the patients with diabetes mellitus and the patients with chronic bronchitis were respectively 9.09% and 17.45%,higher than 4.63% of the patients with hypertension;the infection rate of the patients undergoing emergency surgery was 10.02%,the patients undergoing the selective laparoscopy 3.11%;the infection rate of the patients with the operation duration less than 120min was 3.32%,the patients with the operation duration more than 120 min 8.28%,all the differences between the two groups were statistically significant（P0.05） The ovarian tumor,cervical caner,diabetes mellitus,chronic bronchitis,and the duration of the emergency treatment or the surgery more than 120 min were the risk factors for the infections after the gynecological laparoscopy.CONCLUSION In order to effectively reduce the incidence rate of infections after the gynecological laparoscopy,it is necessary to make a good preparation before the surgery,to rigidly implement the operation procedures,to strengthen the aseptic operation and the disinfection of the
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第24期5556-5557,共2页
Chinese Journal of Nosocomiology
关键词
妇科
腹腔镜
相关因素
感染
Gynecology department
Laparoscope
Related factor
Infection
