摘要
目的探讨妇科患者腹腔镜术后感染、感染部位、病原菌分布,分析妇科患者腹腔镜术后感染的影响因素,并提出针对性护理措施以降低感染率。方法回顾性分析2011年1月-2013年12月医院730例妇科腹腔镜手术患者临床资料,总结术后感染及对感染部位的病原菌进行分离和鉴定;分析术后感染部位分布规律和术后感染的影响因素。结果 730例妇科腹腔镜患者术后发生感染共28例,感染率为3.84%,不同年份术后感染率略有不同,但差异无统计学意义;感染部位以切口感染为主,共14例占50.00%,其他感染部位依次为呼吸道、尿路感染和阴道残端感染;共检出病原菌28株,以革兰阴性菌为主,13株占46.43%、革兰阳性菌10株占35.71%、真菌5株占17.86%;老年患者、有糖尿病史、急诊腹腔镜手术、长时间住院是妇科腹腔镜术后感染的危险因素(P<0.05)。结论妇科腹腔镜术后感染以切口感染为主,主要为革兰阴性菌感染,影响妇科腹腔镜术后感染的因素较多,临床应采取针对性的措施以降低感染率。
OBJECTIVE To discuss the infection status and the pathogenic bacteria distribution of gynecological lap‐aroscopic surgery ,so as to analyze the factors of the postoperative infections after gynecologic laparoscopic and to put forward corresponding nursing measures to reduce infection rates .METHODS The clinical data of 730 patients with gynecological laparoscopic surgery from Jan .2011 to Dec .2013 were analyzed retrospectively and the condi‐tion of postoperative infections was summarized .The bacteria on the infection sites were isolated and detected . The distribution rules and influence factors of postoperative infections were studied .RESULTS There were 28 cases patients of postoperative infections among 730 patients after gynecological laparoscopic ,and the infection rate was 3 .84% .There was no significant difference among different years in postoperative infections （P〈0 .05） .The in‐fection site was mostly incision infections with 14 cases ,accounting for 50 .00% ,followed by respiratory tract in‐fections ,urinary tract infections and vagina stub infections .Totally28 strains of pathogenic bacteria were detec‐ted .Among them ,13 strains were gram‐negative bacteria ,accounting for 46 .43% ;10 strains were gram‐positive bacteria ,accounting for 35 .71% ;Fungi had 5 strains ,accounting for 17 .86% .Old age ,diabetes history ,emer‐gency laparoscopic surgery ,and long time hospital stay were risk factors for infection after gynecologic laparoscop‐ic （P〈0 .05） .CONCLUSION Infections after gynecological laparoscopic surgery are mainly caused by incision and gram‐negative bacteria are the major infectious pathogens .There are many factors related to this kind of infec‐tions .Pertinent measures should be taken to reduce infection rates .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第13期3102-3104,共3页
Chinese Journal of Nosocomiology
基金
河北省自然科学基金资助项目(H2011505063)
关键词
妇科
腹腔镜
术后感染
病原菌
护理
Department of gynecology
Laparoscope
Postoperative infection
Pathogenic bacteria
Nursing
