妇科手术后医院感染原因分析及相应对策

Causes of nosocomial infections after gynecological surgery and corresponding measures

目的探讨妇科手术后医院感染的原因及相应对策。方法对2006年6月-2010年12月,妇科手术后发生医院感染的110例患者临床资料进行回顾性分析,比较患者的年龄分布、医院感染发生部位及手术方式的关系。结果 110例患者中,>60岁的患者发生医院感染构成比明显高于其他年龄段的患者,差异有统计学意义(P<0.01);腹部伤口的发生率为27.3%,与其他部位感染的发生率比较差异有统计学意义(P<0.01);开腹手术后发生医院感染的发生率为54.6%明显高于其他手术方式,差异均有统计学意义(均P<0.05)。结论应加强医院感染的管理,合理使用抗菌药物,从多环节入手,有效降低医院感染的发生率。

OBJECTIVE To investigate the reason and corresponding measure of nosocomial infections after gynecologic surgery. METHODS From Jun 2006 to Dec 2010, a total of 123 patients with nosoeomial infection after gynecologic surgery were retrospectively analyzed in our hospital. The age distribution of patients, nosocomial infection and surgical sites and the relationship were compared. RESULTS Of 123 cases, the constituent ratios of the patients aged between 〉60 was significantly higher than other age patients, the difference was statistically significant （P〈0.01）, the abdominal incision rate was 27.3%, compared with the incidence of other sites, the difference was statistically significant （P〈0.01）, the incidence rate of nosocomial infection after laparotomy was 54.6%, which was significantly higher than other surgical procedures （P〈0.05）. CONCLUSION The management of nosocomial infections should be strengthened, using antibiotics reasonably and starting from multi-link can effectively reduce the incidence of nosocomial infection.