宫颈癌患者根治术后医院感染危险因素分析

Relevant factors of nosocomial infections in cervical cancer patients undergoing radical hysterectomy

目的分析宫颈癌根治术患者医院感染的特点及其相关因素,为降低医院感染率提供依据。方法调查2010年1月-2012年12月在医院行淋巴显影后宫颈癌根治术的122例患者临床资料,对医院感染相关因素进行分析,数据采用SPSS 13.0软件进行统计分析。结果 122例患者术后发生医院感染29例、31例次,感染率23.77%、例次感染率25.41%;感染部位以泌尿道感染最高,占45.16%,其次为阴道残端和手术切口感染,分别占22.58%和19.35%;医院感染与手术方式、尿管留置时间、腹腔引流管放置时间、住院时间以及合并糖尿病等相关,差异有统计学意义(P<0.01,P<0.05)。结论淋巴显影后宫颈癌根治术患者医院感染率高,临床应高度重视并针对医院感染相关因素采取有效预防措施。

OBJECTIVE To analyze the characteristics of nosocomial infections and its related factors in cervical cancer patients undergoing radical hysterectomy,in order to provide the basis for reducing its incidence.METHODS Relevant factors of nosocomial infections in 122 patients with cervical cancer undergoing radical hysterectomy following lymphography from Jan.2010 to Dec.2012 were investigated.Data were statistically analyzed with SPSS 13.0software.RESULTS The incidence and case incidence of nosocomial infections were23.77%and 25.41%in the 122 patients,urinary tract infection（45.16%）was the most common infection,followed by vaginal stump and operation incision infections（22.58% and 19.35%,respectively）.Nosocomial infection was significantly related to the operation mode,catheter indwelling time,placement time of abdominal drainage tube,hospitalization time and complication of diabetes mellitus（P〈0.01,P〈0.05）.CONCLUSIONS Nosocomial infection has high incidence in patients with cervical cancer undergoing radical hysterectomy following lymphography.Clinicians should pay attention during the course of clinical treatment and should take effective measures to prevent nosocomial infections.