摘要
目的研究妇科术后院内感染的发生情况及相关因素,探讨有效防护措施。方法收集山东省日照市妇幼保健院（以下简称＂我院＂）2011年2月~2014年2月行妇科手术患者601例,其中,发生院内感染42例作为感染组,随机选择同期于我院行妇科手术未发生院内感染患者42例作为对照组。比较两组患者年龄、慢性疾病情况、手术时间、住院时间、术后留管、体重指数、术式情况,探讨其与医院感染的相关性。结果 601例行妇科手术患者发生院内感染42例,院内感染发生率为6.99%。单因素分析结果显示,两组年龄、慢性疾病情况、手术时间、住院时间、术后留管、术式差异均有统计学意义（P〈0.05）,其中,感染组患者年龄较大,慢性疾病及术后留管患者比例高,手术时间、住院时间较长,术式以传统开腹术及微创阴式手术所占比例高,提示上述因素与妇科手术后医院感染相关,且可能为危险因素。结论妇科手术后应加强对高龄、有慢性疾病、术后置管、长时间手术、住院及行传统开腹术及微创阴式手术患者的护理,加强医院医护人员操作规范,总结有效的防护措施,从而降低妇科手术后医院感染的发生率。
Objective To study the incidence and relative factors of nosocomial infection after gynecological operation,discuss the effective protective measures. Methods 601 cases underwent gynecological operation from February 2011 to February 2014 in Maternity and Child Care Center of Rizhao City（ ＂our hospital＂ for short） were selected. 42 cases suffered with nosocomial infection were taken as cases group, while 42 cases underwent gynecological operation in our hospital during the same period without nosocomial infection were randomly selected as control group. The age, chronic disease situation, time of operation and hospitalization, postoperative indwelling catheter, body mass index, operation choosing were compared between the two groups, and discuss the correlation with nosocomial infection. Results Among601 cases of patients, 42 cases suffered with nosocomial infection, the nosocomial infection was 6.99%. The results of single factor analysis showed that the differences in age, chronic disease situation, time of operation and hospitalization,postoperative indwelling catheter, operation choosing between the two groups were statistically significant（P〈0.05）.Among which, patients in the cases group were older, had higher chronic disease ratio and postoperative indwelling catheter ratio, longer time of operation and hospitalization, higher ratio of traditional open surgery and minimally invasive vaginal operation, prompted the above factors related to hospital infection, and might be the risk factors. Conclusion Nursing for patients with advanced age, chronic disease, postoperative indwelling catheter, longer time of operation and hospitalization, traditional open surgery and minimally invasive vaginal operation, and the hospital medical staff operating specifications should be strengthened, summarize effective protective measures, in order to reduce the incidence of nosocomial infection after gynecological operation.
出处
《中国医药导报》
CAS
2015年第7期154-156,160,共4页
China Medical Herald
关键词
院内感染
妇科手术
相关因素
Nosocomial infection
Gynecological operation
Relative factors
