乳腺癌患者术后医院感染的危险因素及对策

Risk factors and countermeasures for postoperative nosocomial infections in breast caner patients

目的探讨乳腺癌患者术后医院感染的危险因素并分析相应控制对策。方法对2010年3月-2012年3月在医院施行乳腺癌手术的276例女性患者,回顾性调查患者情况,并对可能的危险因素进行统计分析。结果调查的276例行乳腺癌手术的患者中,发生感染27例,感染率为9.78%;其中以呼吸道感染的发生率最高,占37.04%;乳腺癌患者术后医院感染的主要危险因素:患者合并糖尿病、接受辅助化疗、白细胞减少、长期引流、长期住院(P<0.05)。长期引流和化疗对感染的影响尤为显著。结论临床上应积极采取针对性措施来避免或减少乳腺癌患者术后医院感染的发生。

OBJECTIVE To investigate the risk factors for postoperative nosocomial infections in breast cancer patients so as to propose corresponding countermeasures.METHODS A total of 276 female patients who underwent breast cancer surgery from Mar 2010 to Mar 2012 were selected as the study objects,the condition of the patients was retrospectively investigated,the related factors were taken for statistical analysis.RESULTS Of 276 patients undergoing breast cancer surgery,nosocomial infections occurred in 27 patients with the infection rate of 9.78%;the incidence of respiratory tract infections was the highest（37.04%）;the combined diabetes,adjuvant chemotherapy,leucopenia,long-term drainage,and long-term hospitalization were the main risk factors for the nosocomial infections in the patients after breast cancer surgery,（P0.05）.Long-term drainage and chemotherapy had the most significant impact on the infections.CONCLUSION The hospital should actively take the targeted measures to avoid or reduce the incidence of postoperative nosocomial infections.