经腹子宫切除术后医院感染的危险因素分析  

Analysis of the risk factors for nosocomial infection after abdominal hysterectomy

作　　者：石娜[1] 徐卫[1] 薛利霞[1] 舒雪芹[1] 廖洪菊[1] 方晔[1] 徐莉珠[1] 

机构地区：[1]温州医学院附属第一医院,温州325000

出　　处：《浙江创伤外科》2009年第2期95-97,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨经腹子宫切除术后医院感染的危险因素。方法对2004年3月至10月住院的543例经腹子宫切除术后患者进行回顾性调查分析。结果医院感染率为4.2%。主要为切口感染,占34.8%;其次为泌尿道感染和术后发热,各占26.1%。logistic回归法分析结果显示,年龄≥50岁(OR=3.06,95%CI为1.26～7.43)、恶性肿瘤(OR=7.58,95%CI为2.39～24.00)、贫血(OR=4.93,95%CI为1.85～13.19)、子宫全切术(OR=2.78,95%CI为1.09～7.05)为独立的危险因素。结论经腹子宫切除术后医院感染主要与年龄、恶性肿瘤、贫血、子宫全切术有关。Objective To study the risk factors for nosocomial infection after abdominal hysterectomy. Methods A total of 543 patients after abdominal hysterectomy from March to October 2004 were retrospectively analysis. Results The nosocomial infection rate was 4.2%. The most common infection were surgical-site infection （34.8%）,urinary tract infection （26.1%）and febrile morbidity （26.1%）. Logistic regression analysis showed that the independent risk factors were patient＇s age more than 50 years（OR=3.06, 95%CI %3 1.26-7.43）, malignant tumor （OR=7.58, 95%CI %3 2.39-24.00）, anaemia（OR=4.93, 95%CI %3 1.85-13.19） and total hysterectomy（OR=2.78, 95%CI %3 1.09-7.05）. Conclusion Nosoeomial infec- tion after abdominal hysterectomy could attribute to age, malignant tumor ,anaemia and total hysterectomy.

关 键 词：经腹子宫切除术 医院感染 危险因素 临床分析 

分 类 号：R713.42[医药卫生—妇产科学] R181.34[医药卫生—临床医学]