经腹子宫切除术后患者医院感染的相关因素分析

发布时间：2018-03-04 16:12

  本文选题：经腹子宫切除术　切入点：医院感染　出处：《中华医院感染学杂志》2014年17期 　论文类型：期刊论文

【摘要】：目的探讨经腹子宫切除术后患者医院感染的相关因素,以降低医院感染率。方法选取妇科2011年6月-2012年5月接受经腹子宫切除术治疗的患者487例,根据术后是否发生医院感染分为感染组与未感染组,对比两组患者术后医院感染的相关因素进行logistic回归分析。结果最终判定为术后医院感染患者24例,感染率为4.9%;患者年龄、合并疾病、麻醉方式、手术范围、手术时间、术后卧床时间、切口疼痛程度、陪护人数、患者对健康教育依从性以及术后抗菌药物使用时间等是医院感染相关因素(P0.05);logistic回归分析显示,患者年龄大、有合并疾病、全麻、手术范围大、手术时间长、术后卧床时间长、术后切口疼痛强烈、陪护≥2人、患者对健康教育依从性差以及术后抗菌药物使用时间短等因素为经腹子宫切除术后医院感染的危险因素(P0.05)。结论经腹子宫切除术后医院感染危险因素较多,临床实际工作中应给予足够重视,对于具备上述危险因素患者加强护理管理,以降低医院感染率。
[Abstract]:Objective to investigate the related factors of nosocomial infection after abdominal hysterectomy in order to reduce the nosocomial infection rate. Methods 487 cases of gynecological patients undergoing abdominal hysterectomy from June 2011 to May 2012 were selected. According to whether nosocomial infection occurred after operation, the patients were divided into infected group and uninfected group. The factors related to postoperative nosocomial infection were analyzed by logistic regression analysis. Results 24 cases of postoperative nosocomial infection were determined, the infection rate was 4.9%. Complicated diseases, anaesthesia, operation scope, operation time, postoperative bed rest time, incision pain degree, number of patients, The patients' compliance to health education and the time of use of antibiotics after operation were related factors of nosocomial infection. Logistic regression analysis showed that the patients were old, complicated with diseases, general anesthesia, wide scope of operation, long operation time and long stay in bed after operation. Postoperative incision pain was intense, accompanied by more than 2 people, The risk factors of nosocomial infection after abdominal hysterectomy were poor compliance to health education and short time of use of antibiotics. Conclusion there are more risk factors of nosocomial infection after transabdominal hysterectomy. In order to reduce the nosocomial infection rate, we should pay enough attention to the clinical practice and strengthen the nursing management for the patients with the above risk factors.
【作者单位】： 聊城市人民医院妇产科;
【基金】：山东省聊城市科技局基金资助项目(JB2010卫-3A-60-2)
【分类号】：R181.32
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本文编号：1566373