妇产科围手术期感染的预防护理分析

Prevention against obstetric and gynecological peri-operational infection

目的:探究妇产科围手术期感染的预防与护理方法。方法:回顾分析我院于2010年1月～2010年9月收治的妇产科手术患者,根据其使用抗生素时期进行分组,A组于术前1～2d使用,B组于术前1～2h使用,C组于术后使用抗生素,观察其围手术期感染情况,探讨抗生素的使用时期与感染的关系、手术感染对患者性功能的影响,提出护理方案。结果:A组体温升高率、切口总感染率、体温恢复正常时间、平均住院时间均明显少于B、C两组;三组PFD发生率分别为19.4%、26.3%和33.3%,A组PFD发生率明显低于B、C两组。结论:术前1～2d行抗生素治疗对避免围手术期感染有较大意义,同时行全面的护理干预,能够有效降低妇产科围手术期的感染率。

Objectives： To explore the prevention and nursing measures for obstetric and gynecological peri -operational infection. Methods： A retrospective analysis was made on the patients who received obstetric and gynecological operation in our hospital from January, 2010 to September, 2010. The patients were divided into three groups according to their time of antibiotic use： Group A used antibiotics 1 -2 days before the operation; Group B used antibiotics 1 -2 hours before the operation; Group C used antibiotics after the operation. The three groups were observed for their peri - operational infections for the purpose of explo- ring the relationship between the time of antibiotic use and infection occurrence. Results： Group A showed significantly lower rate in temperature rise and infection, less time in the restoration process of normal body temperature and in hospital stays as compared to Group B and C. The PFD occurrence rates in Group A, B, and C are respectively 19.4% , 26.3% and33.3% , with group A indicating significantly lower rate than Group B and C. Conclusion： One or two days＇ preoperative antibiotic therapy can help to avoid peri - operative infection. A comprehensive nursing intervention can effectively reduce the rate of peri - operational infection.