妇科肿瘤患者术后医院感染相关因素分析

Analysis of hospital infection related factors in gynecological tumor patients after operation

目的分析妇科肿瘤患者术后感染的危险因素,为降低妇科肿瘤术后感染提供依据。方法选取2013年2月-2016年4月入院的妇科肿瘤患者122例,回顾性分析术后患者感染的部位、不同部位感染率及导致感染的危险因素。结果 122例患者中术后感染24例,感染率为19.67%,其中泌尿道感染12例占50.00%,呼吸道感染6例占25.00%,生殖道感染3例占12.50%,手术切口感染2例占8.33%,胃肠道感染1例占4.17%;年龄>60岁、手术持续时间>2h、合并糖尿病、开放式手术、术后未应用抗菌药物、术后留置导管的患者感染率分别为31.64%、38.64%、42.42%、26.67%、53.57%、24.18%,显著高于年龄≤60岁、手术持续时间≤2h、不合并糖尿病、腹腔镜手术、术后应用抗菌药物、不留置导管的患者感染率(14.94%、8.97%、11.24%、8.51%、9.57%、6.45%),差异有统计学意义(P<0.05)。结论年龄偏大、手术持续时间过长、合并糖尿病、开放式手术、术后不应用抗菌药物和术后留置导管均是导致妇科肿瘤患者术后感染的重要危险因素。

OBJECTIVE To analyze the risk factors of postoperative infection in gynecological tumor patients,and to provide guidence for the prevention of postoperative infection and reduce the infection rate.METHODS A total of122 cases of gynecological tumor patients admitted to hospital from Feb.2013 to Apr.2016 were selected,and the infection sites,infection rates of different infection sites and risk factors of infection in the patients after operation were analyzed retrospectively.RESULTS A total of 24 cases of patients occurred postoperative infection,with the infection rate of 19.67%,including 12 cases of urinary tract infection（50%）,6cases of respiratory tract infection（25%）,3cases of reproductive tract infection（12.50%）,2cases of incision infection（8.33%）,and 1case of gastrointestinal tract infection（4.17%）respectively.The infection rates of patients aged 60y,the duration of operation longer than 2h,with diabetes,open surgery,without antibiotics after operation,and using indwelling catheter were 31.64%,38.64%,42.42%,26.67%,53.57%,and 24.18%respectively,which were significant higher than 14.94%,8.97%,11.24%,8.51%,9.57%,and 6.45% of patients aged≤60y,the duration of operation no more than 2h,without diabetes,laparoscopic surgery,using antibiotics after operation,and without indwelling catheter,and the differences were statistically significant（P〈0.05）.CONCLUSION Older age,longer duration of operation,with diabetes mellitus,open surgery,without antibiotics after operation,and using indwelling catheter are important risk factors leading to postoperative infection in patients with gynecological tumors.