妇产科手术腹部切口感染影响因素及预防对策

Influencing factors for abdominal surgery incision infections in department of obstetrics and gynecology and prevention countermeasures

目的研究妇产科手术腹部切口感染影响因素,探讨护理预防对策。方法妇产科实施腹部手术切口感染50例作为观察组,按1∶1选择无切口感染50例患者作为对照组,对可能影响腹部切口感染的相关因素进行多因素logistic回归分析。结果单因素检验影响切口感染的相关因素共12项(P<0.05),包括年龄大、体重指数高、夏季手术、备皮至手术时间长、心理准备不充分、主刀医师年资低、急诊手术、切口长、术中失血量多、手术时间长、术后是否实施康复教育,logistic回归分析腹部切口感染的5个危险因素为手术时间长、体重指数高、备皮至手术时间长,心理准备、术后康复教育均不充分(OR=3.72、3.57、3.24、2.98、2.58)。结论妇产科腹部切口感染因素复杂,通过针对相关危险因素实施护理干预以减少腹部切口感染的发生。

OBJECTIVE To study the related factors for abdominal incision infections in department of obstetrics and gynecology and nursing interventions. METHODS Totally 50 cases with abdominal surgical incision infections in department of obstetrics and gynecology were set as observation group, and 50 patients without incision infections were set as the control group in a 1 ： 1 ratio. Multivariate logistic regression analysis of the related factors for abdominal incision infections was performed. RESULTS Single factor test showed that there were 12 related factors for incision infections （P〈0.05）, including the age, high body mass index, the ward shared by many patients, the surgery in summer, long time of the skin preparation and surgery, inadequate psychological preparation, low seniority of the surgeon, the emergency operation, long incision, perioperative blood loss, long duration of the operation, and the implementation of rehabilitation education after the operation; logistic regression analysis indicated that there were 5 risk factors for abdominal incision infections, including long duration of surgical time, high body mass index, long time of the skin preparation and surgery, inadequate psychological preparation and insufficient rehabilitation education after operation （OR=3.72 3.57 3.24 2.98 2.58）. CONCLUSION The related factors for the abdominal incision infections in department of gynecology and obstetrics are so complex that we should implement nursing interventions to reduce the abdominal incision infections.