卵巢癌患者术后尿路感染危险因素分析及预防措施

Risk factors and preventive measures of urinary tract infection in patients with ovarian cancer

目的探讨卵巢癌患者手术治疗后发生尿路感染的危险因素及预防措施.方法将208例接受手术治疗的卵巢癌患者根据其术后是否发生尿路感染分为感染组37例、非感染组171例,统计两组患者的临床资料,并进行单因素分析及多因素Logistic回归分析.结果感染组手术方式(腹腔镜、开腹手术)、手术时间、手术出血量、导尿管留置时间、住院时间、导尿管插营次数与非感染组比较差异均有统计学意义(P<0.05或0.01);Logistic回归分析显示术中出血量增加、导尿管留置时间延长、导尿管插管次数增多、开腹手术方式是卵巢癌患者术后并发尿路感染的独立危险因素(P<0.05).结论术中出血量增加、导尿管留置时间延长、导尿管插管次数增多、开腹手术方式等是导致卵巢癌患者术后发生尿路感染的独立危险因素.临床上应根据患者的风险因素进行针对性干预处理.

Objective To investigate the risk factors and prevention strategies of urinary tract infection after surgical treatment in patients with ovarian cancer.Methods The 208 cases of ovarian cancer patients who had undergone surgical treatment were selected and divided into infection group(37 cases)and non-infection group(171 cases)according to whether postoperative urinary tract infection occurred.Calculate clinical data of two groups of patients,and perform univariate analysis and multivariate logistic regression analysis.Results There were significant differences in the surgical methods(laparoscopy,laparotomy),operative time,amount of surgical bleeding,catheter indwelling time,length of stay,and number of intubation catheters between infected and non-infected groups(P<0.05 or 0.01).Logistic regression analysis showed that increased intraoperative blood loss,prolongedcatheter indwelling time,catheter intubation frequency,and laparotomy were independent risk factors for postoperative urinary tract infection in patients with ovarian cancer(P<0.05).Conclusions Increased intraoperative blood loss,increased catheter indwelling time,increased number of catheter intubation,and open surgery methods are independent risk factors for urinary tract infections in patients with ovarian cancer.Clinically,targeted interventions should be performed according to the patient's risk factors.