结肠癌术后并发肠瘘致腹腔感染患者的主要致病菌及护理观察

The main pathogenic bacteria and nursing care of patients with abdominal infection induced by colonic fistula after colorectal tumorectomy

目的分析观察结肠癌术后并发肠瘘致腹腔感染患者的主要致病菌及对其的护理。方法选取我院在2012年1月至2013年1月收治的结肠癌术后并发肠瘘致腹腔感染患者84例,采集其感染处的细胞制作标本,送检。另外将其分为试验组和对照组,每组各42例,对照组患者接受常规护理,试验组患者接受优质护理,观察记录对照组患者和试验组患者的护理效果并进行比较,调查试验组患者和对照组患者对护理的满意情况。结果送检结果表明,结肠癌术后并发肠瘘致腹腔感染的主要致病菌为革兰阴性菌,占71.43%,革兰阳性菌占21.43%,真菌占7.14%。试验组患者的护理效果明显优于对照组的护理效果,差异具有统计学意义(P<0.05)。结论结肠癌术后并发肠瘘致腹腔感染的主要致病菌为革兰阴性菌。优质护理在结肠癌术后并发肠瘘致腹腔感染患者的护理中,有显著疗效,且能提高患者对护理的满意度和护理的质量,值得临床推广。

Objective To observe main pathogenic bacteria of and nursing measure for intra-abdominal infections caused by colonic fistula after colorectal tumorectomy.Methods 84 colorectal tumor patients in our hospital during January 2012 and January 2013 who had abdominal infection associated with postoperative colonic fistula were selected and divided into the experimental group or control group,42 cases in each group.The infected cells of the patients were collected for laboratory detection.The control group received routine nursing care,while the experimental group received intensive nursing care.The effects of nursing care were observed and compared between the two groups,and the levels of patient satisfaction with the nursing care were investigated.Results Laboratory results showed that the main pathogens causing abdominal infection associated with postoperative colonic fistula were Gram negative bacteria（71.43%）,Gram positive bacteria（21.43%）and fungi（7.14%）.The effect of nursing care in the experimental group was better than that in the control group,with statistically significant difference（P〈0.05）.Conclusion The main pathogens causing abdominal infection associated with postoperative colonic fistula are Gram negative bacteria.High quality nursing care has significant effect on patients with abdominal infection associated with postoperative colonic fistula,and can improve the patient satisfaction.