妇科肿瘤患者术后医院感染相关因素分析

发布时间：2018-03-01 13:07

  本文关键词： 妇科 肿瘤患者 术后 感染 危险因素　出处：《中华医院感染学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的分析妇科肿瘤患者术后感染的危险因素,为降低妇科肿瘤术后感染提供依据。方法选取2013年2月-2016年4月入院的妇科肿瘤患者122例,回顾性分析术后患者感染的部位、不同部位感染率及导致感染的危险因素。结果 122例患者中术后感染24例,感染率为19.67%,其中泌尿道感染12例占50.00%,呼吸道感染6例占25.00%,生殖道感染3例占12.50%,手术切口感染2例占8.33%,胃肠道感染1例占4.17%;年龄60岁、手术持续时间2h、合并糖尿病、开放式手术、术后未应用抗菌药物、术后留置导管的患者感染率分别为31.64%、38.64%、42.42%、26.67%、53.57%、24.18%,显著高于年龄≤60岁、手术持续时间≤2h、不合并糖尿病、腹腔镜手术、术后应用抗菌药物、不留置导管的患者感染率(14.94%、8.97%、11.24%、8.51%、9.57%、6.45%),差异有统计学意义(P0.05)。结论年龄偏大、手术持续时间过长、合并糖尿病、开放式手术、术后不应用抗菌药物和术后留置导管均是导致妇科肿瘤患者术后感染的重要危险因素。
[Abstract]:Objective to analyze the risk factors of postoperative infection in patients with gynecological neoplasms and to provide evidence for reducing postoperative infection of gynecological tumors. Methods 122 patients with gynecological tumors admitted from February 2013 to April 2016 were selected and the sites of postoperative infection were analyzed retrospectively. Results among 122 patients, 24 had postoperative infection. The infection rate was 19.67, including urinary tract infection in 12 cases, respiratory tract infection in 6 cases, genital tract infection in 3 cases, surgical incision infection in 2 cases and gastrointestinal tract infection in 1 case, in which 12 cases had urinary tract infection, 6 cases had respiratory tract infection, 12 cases had genital tract infection, and 1 case had gastrointestinal tract infection. The infection rate of patients without antibiotics after operation was 31.64 and 38.64, respectively. The infection rate was 42.42 and 26.67 respectively, which was significantly higher than that of age 鈮，

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