摘要
目的分析妇科腹腔镜手术患者医院感染的危险因素,为临床预防治疗提供依据。方法选取2010年7月-2015年5月医院妇科接受腹腔镜手术的1 000例患者作为研究对象,回顾性分析患者临床资料,分析患者发生医院感染的相关因素,数据采用SPSS 16.0软件进行统计分析。结果 1 000例患者中10例术后发生感染,感染率1.00%,其中急诊手术153例患者中感染7例感染率4.58%,Ⅲ类手术233例患者中感染6例,感染率2.58%;Ⅳ类手术21例患者感染4例,感染率19.05%;手术>3h的379例患者中有10例发生感染,感染率2.64%;有参观人员442例手术患者感染8例,感染率1.81%;接台手术233例患者感染4例,感染率1.79%;采用logistic分析,急诊手术、Ⅳ类手术、手术时间≥3h、有参观人员和接台手术是患者发生感染的独立危险因素(P<0.05)。结论妇科腹腔镜手术患者术后感染的发生与多因素有关,应加强对高危患者的护理。
OBJECTIVE To investigate the risk factors for nosocomial infections in the gynecology department patients undergoing laparoscopic surgery so as to provide guidance for clinical prevention and treatment.METHODS A total of 1 000 patients who underwent the laparoscopic surgery in the gynecology department from Jul 2010 to May 2015 were recruited as the study objects,then the clinical data of the enrolled patients were retrospectively analyzed,the related factors for the nosocomial infections were analyzed,and the statistical analysis of data was performed with the use of SPSS 16.0software.RESULTS Of the 1 000 patients,10had postoperative infections,with the infection rate of 1.00%.Among 153 patients undergoing emergency surgeries,7had infections with the infection rate of 4.58%;the infections occurred in 6of 233 patients undergoing the typeⅢ surgery,with the infection rate of 2.58%;the infections occurred in 4of 21 patients undergoing the typeⅣ surgery,with the infection rate of 19.05%.Among the 379 patients with operation duration more than 3hours,10 had the infections,with the infection rate of 2.64%.The infections occurred in 8of 442 patients with visiting people during the surgery,with the infection rate of 1.81%;the infections occurred in 4of 233 patients undergoing consecutive surgery,with the infection rate of 1.79%.The logistic analysis indicated that the independent risk factors for the infections included the emergency surgery,typeⅣsurgery,operation duration no less than 3hours,visitors,and consecutive surgery（P〈0.05）.CONCLUSIONThe incidence of the postoperative infections in the gynecology department patients undergoing the laparoscopic surgery is associated with a variety of factors,and it is necessary to strengthen the nursing of the high-risk patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第5期1129-1131,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(1200210368)
关键词
妇科
腹腔镜手术
手术室感染
护理干预
Gynecology department
Laparoscopic surgery
Infection in operating room
Nursing intervention
