试析妇产科腹部手术切口感染因素及护理

Analysis of the Factors and Nursing of Abdominal Surgical Incision Infection in Obstetrics and Gynecology

目的针对妇产科腹部手术切口感染因素及护理,以确定采取最有效的预防方法。方法收集2010年1月~2013年1月妇产科实施腹部手术的541例患者有关资料,结合患者身体状况、手术及用药等具体情况对产生切口感染的有关因素进行分析。结果在实施腹部手术的患者中发生切口感染的有24例,感染率达4.4%;经分析后,发现患者年龄超过60岁、ASA分级Ⅲ级、血红蛋白每升低于110克等因素;在手术中超过2 h的手术时间、急诊等因素;在围术期用药中应用抗菌药物对于预防切口感染等都具有一定的关系,存在的差异具有统计意义（P〈0.05）。结论妇产科腹部手术患者中,很多因素都会对切口感染的产生影响,在围术期应特别要注意,以便采取有效护理措施,降低发生切口感染的比例,从而确保患者健康。

Objective To determine the most effective method for the prevention and nursing of abdominal surgical incision infection in obstetrics and gynecology. Methods Collect January 2010 ~ January 2013,the Department of Obstetrics and Gynecology implementation of abdominal surgery of 541 patients relevant data, combined with the physical condition of patients, surgery, and drug use and other specific circumstances of incision infection related factors were analyzed. Results 24 cases of incision infection occurred in patients with abdominal surgery, infection rate was 4.4%. After analysis, it was found that patients aged more than 60 years old, ASA grade III, hemoglobin per liter less than 110 grams, 2 hours of operation time, emergency and other factors; the use of antibacterial drugs in perioperative period has a certain relationship with the prevention of wound infection, there is statistical significance（P 0.05）. Conclusion Many factors affect the occurrence of wound infection in patients with gynecologic and obstetric surgery. In the perioperative period, special attention should be paid to take effective nursing measures to reduce the incidence of wound infection, so as to ensure the health of patients.