妇产科患者术后感染的临床分析

Clinical analysis of postoperative infections in patients of gynecology and obstetrics department

目的对妇产科术后感染因素进行分析,针对影响妇产科术后感染的危险因素制定护理对策,为临床防治提供经验。方法回顾性分析医院妇产科2013年1-12月588例接受手术治疗的住院患者临床资料,包括年龄、住院时间、是否发生术后感染、感染部位等进行整理并记录,分析影响妇产科术后感染的危险因素。结果妇产科接受手术的588例患者术后发生感染27例,感染率为4.59%,妇科术后感染率略高于产科;妇产科术后感染部位主要为呼吸系统,共10例占37.04%;其次为泌尿系统、胃肠系统、宫腔和切口感染;年龄<30岁患者术后感染率最低,共发生4例术后感染,感染率为14.81%,随着年龄的增加,术后感染率成上升趋势;住院时间<5d患者术后感染率最低,为3.70%,随着住院时间的延长,术后感染率成上升趋势。结论妇产科患者术后感染较为严重,呼吸系统是感染主要部位,住院时间延长和高龄患者均增加术后感染率,临床应采取有针对性的护理对策。

OBJECTIVE To observe the risk factors for postoperative infections in gynecology and obstetrics depart-ment and put forward the nursing countermeasures so as to provide guidance for clinical prevention and treatment . METHODS The clinical data of 588 hospitalized patients who underwent the surgery in the gynecology and obstet -rics department from Jan 2013 to Dec 2013 were retrospectively analyzed ,including the age ,length of hospital stay ,incidence of postoperative infections ,and infection sites ,then the risk factors for the postoperative infections in the patients of gynecology and obstetrics department were observed .RESULTS Of the 588 patients who under-went the surgery in the gynecology department ,27 had the postoperative infections ,with the infection rate of 4 .59% ;the incidence of postoperative infections was slightly higher in the gynecology department than in the ob-stetrics department .The respiratory tract was the major postoperative infection site （10 cases ,37 .04% ） ,fol-lowed by the urinary tract ,gastrointestinal tract ,uterine cavity ,and incision .The incidence of postoperative in-fections was the lowest in the patients with less than 30 years of age （4 cases ,14 .81% ） ;with the increase of age , the incidence of postoperative infections showed an upward trend .The incidence of postoperative infections was the lowest in the patients with the length of hospital stay less than 5 days （3 .70% ） ;with the increase of the length of hospital stay ,the incidence of postoperative infections showed upward trend .CONCLUSION The postop-erative infections are severe in the patients of gynecology and obstetrics department ,the respiratory tract is the major infection site .The extended length of hospital stay and advanced age may increase the incidence of postoper -ative infections ,and it is necessary for the hospital to take targeted nursing countermeasures .