泌尿外科患者手术后应激性高血糖对感染的影响研究

发布时间：2018-10-30 16:19

【摘要】：目的探讨泌尿外科手术后应激性高血糖对患者感染的影响,并总结护理干预措施,为临床应用提供参考依据。方法选取2014年1-12月医院泌尿外科收治行手术治疗的136例患者为研究对象,根据其术后48h的血糖水平分为A级46例、B级63例、C级23例、D级4例;比较A+B级与C+D级患者术后感染率、总住院时间及患者满意度,并记录术后感染部位及病原菌分布;采用SPSS19.0软件对数据进行统计分析。结果 136例患者术后共发生感染15例,感染率为11.0%,A+B级患者的术后感染率为7.3%,明显低于C+D级的25.9%,差异有统计学意义(P0.05);A+B级患者总住院时间明显小于C+D级,患者满意度明显优于C+D级,差异有统计学意义(P0.05);15例术后感染患者中呼吸系统和泌尿系统感染最为常见,分别占40.0%及26.7%,病原菌以革兰阴性菌为主,占54.2%。结论泌尿外科术后应激性高血糖能显著增加感染的发生风险,血糖越高、血糖波动越大,感染的风险越高,术后康复越慢,患者满意度更差,应给予个体化的综合护理干预,以此预防感染。
[Abstract]:Objective to explore the effect of stress hyperglycemia on infection of patients after urological surgery, and summarize the nursing intervention measures to provide reference for clinical application. Methods 136 patients who were treated in urology department of our hospital from January to December 2014 were selected as study objects. According to the blood glucose level of 48 hours after operation, there were 46 cases of grade A, 63 cases of grade B, 23 cases of grade C and 4 cases of grade D. The infection rate, total hospitalization time and patient satisfaction were compared between A B and C D, and the infection site and pathogen distribution were recorded, and the data were statistically analyzed by SPSS19.0 software. Results there were 15 cases of postoperative infection in 136 patients. The postoperative infection rate of the patients with grade A and B was 7.3and was significantly lower than that of grade C and D (P 0.05). The total hospitalization time of patients in grade A and B was significantly less than that in grade C and D, and the patient satisfaction was significantly better than that in grade C and D (P0.05). Respiratory and urinary system infections were the most common in 15 postoperative patients (40.0% and 26.7%, respectively). Gram-negative bacteria were the main pathogens, accounting for 54.2%. Conclusion stress hyperglycemia after urological surgery can significantly increase the risk of infection. The higher the blood sugar, the greater the risk of infection, the slower the postoperative recovery and the worse the patient satisfaction, the more individualized comprehensive nursing intervention should be given. In order to prevent infection.
【作者单位】：天津市医科大学第二医院泌尿科;
【基金】：天津市卫生局科技基金资助项目(2013KZ101)
【分类号】：R473.6

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