摘要
目的探讨和分析妇科腹腔镜术后感染的相关因素,为防止术后感染提供依据。方法对147例于医院收治的施行妇科腹腔镜手术患者年龄、手术时间、住院天数、是否合并糖尿病、切口类型等因素与术后感染的相关性进行考察,并分析感染部位及病原菌类型。结果在施行妇科腹腔镜手术的患者中,>60岁、手术时间>3h、住院天数>3d、合并糖尿病以及Ⅱ类手术切口的患者更易于获得术后感染,差异有统计学意义(P<0.05);感染部位中以腹部切口感染和阴道残端感染为主,共10例,占71.4%;病原菌主要为革兰阴性菌,占50.0%。结论妇科腹腔镜手术发生术后感染与年龄、手术时间、住院天数、是否合并糖尿病、切口类型等因素有关,采取相应的干预措施可降低术后感染率。
OBJECTIVE To explore and analyze the related factors of nosocomial infections in patients after gynecological laparoscopic surgery so as to provide the basis for the prevention of postoperative infections.METHODS A total of 147cases of patients who underwent the gynecological laparoscopic surgery in the hospital were enrolled in the study,the factors associated with the postoperative infections,including the age,operation duration,hospitalization duration,diabetes,and incision types,were observed,then the infection sites and the species of pathogens were analyzed.RESULTS Of the patients undergoing the gynecological laparoscopic surgery,the patients with more than 60years of age,operation duration more than three hours,complication of diabetes,or typeⅡincision were more prone to be infected,the difference was significant（P0.05）.The abdominal incision and the vaginal stump were the predominant infection sites,with 10cases in total,accounting for 71.4%.The gram-negative bacteria were the main pathogens,accounting for 50.0%.CONCLUSIONThe incidence of infections after gynecological laparoscopic surgery is related to the age,operation duration,length of hospital stay,complication of diabetes,or types of incision;the corresponding interventions can reduce the incidence of postoperative infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第16期3963-3964,共2页
Chinese Journal of Nosocomiology
基金
福建省科技立项课题(2010Y3006)
关键词
妇科
腹腔镜手术
感染
相关因素
分析
Gynecological laparoscopic surgery
Infection
Analysis of related factor
