妇产科患者术后感染的临床分析

发布时间：2018-06-05 06:44

本文选题：妇产科 + 术后感染　；参考：《中华医院感染学杂志》2015年06期

【摘要】：目的对妇产科术后感染因素进行分析,针对影响妇产科术后感染的危险因素制定护理对策,为临床防治提供经验。方法回顾性分析医院妇产科2013年1-12月588例接受手术治疗的住院患者临床资料,包括年龄、住院时间、是否发生术后感染、感染部位等进行整理并记录,分析影响妇产科术后感染的危险因素。结果妇产科接受手术的588例患者术后发生感染27例,感染率为4.59%,妇科术后感染率略高于产科;妇产科术后感染部位主要为呼吸系统,共10例占37.04%;其次为泌尿系统、胃肠系统、宫腔和切口感染;年龄30岁患者术后感染率最低,共发生4例术后感染,感染率为14.81%,随着年龄的增加,术后感染率成上升趋势;住院时间5d患者术后感染率最低,为3.70%,随着住院时间的延长,术后感染率成上升趋势。结论妇产科患者术后感染较为严重,呼吸系统是感染主要部位,住院时间延长和高龄患者均增加术后感染率,临床应采取有针对性的护理对策。
[Abstract]:Objective to analyze the factors of postoperative infection in obstetrics and gynecology, and to provide experience for clinical prevention and treatment by making nursing countermeasures against the risk factors affecting postoperative infection in obstetrics and gynecology. Methods the clinical data of 588 inpatients undergoing surgical treatment from January to December 2013 were analyzed retrospectively, including age, length of stay, postoperative infection and infection site. To analyze the risk factors of postoperative infection in obstetrics and gynecology. Results there were 27 cases of postoperative infection in 588 cases of gynecology and obstetrics, the infection rate was 4.59%, the infection rate of gynecological operation was slightly higher than that of obstetrics and gynecology, the infection site of gynecology and obstetrics was mainly respiratory system (37.04%), the second was urinary system and gastrointestinal system. The infection rate of uterine cavity and incision was the lowest in the patients aged 30 years, and the infection rate was 14.81 in 4 cases, and the infection rate increased with the increase of age, and the infection rate was the lowest in the patients with 5 days of hospitalization. The infection rate increased with the length of hospital stay. Conclusion the postoperative infection in patients with gynecology and obstetrics is more serious, the respiratory system is the main site of infection, the prolonged hospitalization time and the elderly patients both increase the postoperative infection rate, so we should take targeted nursing measures in clinic.
【作者单位】：湖州市德清县中医院妇产科;
【基金】：浙江省卫生厅医药基金资助项目(2009B516)
【分类号】：R71

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