妇科肿瘤患者术后盆腔感染的危险因素分析

发布时间：2019-07-31 16:55

【摘要】：目的探究妇科肿瘤患者术后盆腔感染的危险因素,并提出对应的护理对策。方法收集50例术后盆腔感染的妇科肿瘤患者(实验组)和同期50例术后未发生盆腔感染的妇科肿瘤患者(对照组)临床资料,采取单因素和二元Logistic回归分析方法,分析患者的临床资料与盆腔感染的关系,确定盆腔感染的危险因素。结果 2组患者在年龄、贫血、糖尿病、不良卫生习惯、术前感染病史、术前化疗、手术方式、手术持续时间、术后留置导管、术后抗菌药物应用及术后卧床时间方面比较差异均具有统计学意义(P0.05);相关因素二元Logistic回归分析得到:贫血、糖尿病、不良卫生习惯、术前有感染病史、术前化疗、开放式手术、手术持续时间2h、术后留置导管及术后卧床时间7 h是妇科肿瘤患者术后盆腔感染的独立危险因素(P0.05),而术后应用抗菌药物是术后盆腔感染的保护因素(P0.01)。结论术后适当应用抗菌药物可降低盆腔感染的发生率。
[Abstract]:Objective to explore the risk factors of postoperative pelvic infection in patients with gynecological tumors and put forward the corresponding nursing countermeasures. Methods the clinical data of 50 patients with pelvic infection (experimental group) and 50 patients with gynecological tumor without postoperative pelvic infection (control group) were collected. Univariate and binary Logistic regression analysis was used to analyze the relationship between clinical data and pelvic infection, and the risk factors of pelvic infection were determined. Results there were significant differences in age, anemia, diabetes, bad hygiene habits, preoperative infection history, preoperative chemotherapy, surgical mode, operation duration, postoperative indwelling catheter, postoperative antibiotic application and postoperative bed rest time between the two groups (P 0.05). Multivariate Logistic regression analysis showed that anemia, diabetes mellitus, bad hygiene habits, preoperative history of infection, preoperative chemotherapy, open operation, operation duration of 2 hours, postoperative indwelling catheter and postoperative bed rest time were independent risk factors for postoperative pelvic infection in patients with gynecological tumors (P 0.05), and postoperative use of antibiotics was the protective factor of postoperative pelvic infection (P01). Conclusion proper use of antibiotics after operation can reduce the incidence of pelvic infection.
【作者单位】：浙江省肿瘤医院手术室
【分类号】：R473.73

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