颈淋巴清扫术后医院感染分析及护理措施

Hospital Infections in Patients after Neck Dissection and Nursing Intervention

目的 探讨颈淋巴清扫术后患者医院感染的易感因素，提出相应预防措施。方法 以2000年8月～2005年8月进行的116例颈淋巴清扫术患者医院感染为感染组，与非感染组进行对照，提出相应的护理措施。结果 发生医院感染22例、25例次，感染率为18．97％，例次感染率为21．55％；感染部位以手术切口、呼吸道感染最为常见，构成比分别为48％、24％，感染组、非感染组在行侵人性操作、有慢性疾病史、年龄、住院天数比较，两组差异均有统计学意义。结论 颈淋巴清扫患者术后感染发生率高，对于高危患者更应成为重点防护对象。

OBJECTIVE To investigate risk factors and nursing protective measures controlling hospital infection in patients after neck dissection. METHODS The data of 116 patients after neck dissection from Aug 2000 to Aug 2005 were collected, and the hospital infection condition was analyzed in comparison with non-infection group. RESULTS Hospital infection rate was 18. 97% （22/116） and case-time rate was 21. 55% （25/116）. Of 25 occasions in hospital infections, 48% were infection of operative incision and 24% were infection of respiratory tract. The risk factors for hospital infection in patients with neck dissection might he associated with patient＇s duration of hospitalization, history of chronic disease, age and invasive operation. CONCLUSIONS There is a high hospital infection incidence rate in patients after neck dissection, it is necessary to monitor high risk patients.