妇科无菌手术术后切口感染相关因素分析及手术室干预措施

Related factors analysis of incision infection after gynecological aseptic operation and interventional measures of operating room

目的探讨妇科无菌手术切口感染相关因素分析及手术室干预措施。方法选取崇州市妇幼保健计划生育服务中心妇科2016年10月—2017年1月收治的行妇科无菌手术患者668例,计算患者切口感染率,并对导致患者术后切口感染的影响因素进行分析。结果本组患者切口感染率为3.44%。年龄、合并症、抗菌药物使用、侵入操作、放化疗、住院时间是导致妇科无菌手术后切口感染的影响因素(P<0.05)。多因素logistic回归分析结果显示,年龄、合并症、抗菌药物使用、侵入操作、放化疗、住院时间是导致妇科无菌手术后切口感染发生的独立危险因素(P<0.05)。结论年龄、合并症、抗菌药物使用、侵入性操作、放化疗、住院时间是导致妇科无菌手术后切口感染的危险因素,临床实践中应针对上述因素采取积极有效的护理干预措施,以降低和控制切口感染率。

Objective To investigate the related factors analysis of incision infection after gynecological aseptic operation and interventional measures of operating room.Methods A total of 668 cases of patients with gynecological aseptic operation were selected from October 2016 to January 2017 in Maternal and Child Health Care Center for Family Planning Service of Chongzhou City,the postoperative infection was analyzed,and the influencing factors of the infection were statistically analyzed.Results All of patients,the infection rate of sterile surgical incision was 3.44%.The age,complication,antimicrobial use,invasive operation,radiotherapy and chemotherapy,hospitalization time were the influencing factors of incision infection（P〈0.05）. The multivariate logistic regression analysis showed that age,complication,antimicrobial use,invasive operation,radiotherapy and chemotherapy,hospitalization time were the risk factors of incision infection（P〈0.05）.Conclusion Age,complications,antimicrobial use,invasive operation,radiotherapy and chemotherapy,hospitalization time are the risk factors of incision infection,so the clinical practice should take active and effective nursing intervention measures for the above factors,to reduce and control the wound infection rate.