肝胆手术患者医院感染的特点及护理措施

Features and nursing measures for patients with nosocomial infection after hepatobiliary surgery

目的:探讨肝胆手术患者医院感染发生的特点,寻求有效的护理措施。方法:对我院肝胆科1035例住院手术患者中确诊为医院感染的31例病例进行回顾性分析,总结感染特点。结果:肝胆手术患者医院感染发生率为2.99%,感染部位以呼吸道感染居多,占61.29%,腹部切口感染占29.03%,泌尿系统感染占9.68%。结论:加强病区环境管理,保持室内通风,定期空气消毒,严格无菌技术操作,提高机体免疫力,是控制肝胆科手术患者医院感染的主要措施。

Objective：To explore the features and effective nursing interventions for the patients with nosocomial infection after hepatobiliary surgery.Methods：There were 31 nosocomial infectious cases among 1035 liver and gallbladder operative inpatients from Jan- uary 2004 to December 2007,the infective character and counter nursing measures were analyzed retrospectively. Results：The incidence rate of nosocomial infection after hepatobiliary surgery was 2.99% ,respiratory tract infection ranked first and accounted for 61.29% ,while the secondary was abdominal incision infection for 29.03% ,urinary system infection for 9.68%. Conclusion：Strengthening ward management, keeping well-vetilated, regular air disinfection, strictly aseptic technique,improving organic immunity are the key measures to con- trol nosocomial infection after hepatobiliary surgery.