妇科老年患者卵巢癌术后尿路感染的临床分析  

Clinical analysis and nursing care of urinary tract infections in elderly patients of gynecology department after ovarian cancer surgery

作　　者：王蕾[1] 

机构地区：[1]杭州市第一人民医院妇产科,浙江杭州310011

出　　处：《中华医院感染学杂志》2013年第7期1595-1597,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解老年女性尿路感染的特点,分析其易感因素,从而指导临床治疗和护理,降低尿路感染发生率。方法对医院2008年1月-2011年12月行卵巢癌手术136例患者的尿路感染的发生进行分析。结果 136例患者共发生尿路感染49例,发生率36.03%;临床表现以尿路刺激征为多见,阳性率为57.14%;共分离病原菌49株,革兰阳性球菌25株,占51.02%,革兰阴性杆菌23株,占46.94%,真菌1株,占2.04%;通过对比尿路感染组与非尿路感染组患者发现,卵巢癌术后发生尿路感染与原发病导致尿液潴留、插管次数、留置时间过长、合并基础疾病等因素有关,差异有统计学意义(P<0.05)。结论加强留置导管的护理、控制留置导尿时间、严格无菌技术操作,提倡生理性膀胱冲洗和加强术后的心理护理是减少卵巢癌术后尿路感染发生的有效措施。OBJECTIVE To investigate the characteristics and predisposing factors of the urinary tract infections （UTI）in the elderly female patients so as to guide the clinical treatment and nursing and reduce the incidence of urinary tract infections. METHODS A total of 136 cases of patients, who underwent the ovarian cancer surgery in the hospital from Jan 2008 to Dec 2011, were enrolled in the study, and the risk factors associated with the urinary tract infections were analyzed. RESULTS Of totally 136 patients investigated, the urinary tract infections occurred in 49 cases of patients with the incidence rate of 36.03% the urinary tract irritation was the predominant clinical performance with the positive rate of 57. 14%. Of totally 49 strains of pathogens isolated , there were 25 （51.02%） strains of gram--positive cocci, 23（46.94%） strains of gram-negative bacilli, and 1 （2.04%） strain of fungi. The comparative study of the urinary tract infection patients and the non-urinary tract infection patients concluded that the incidence of urinary tract infections after the ovarian cancer surgery was related to the urinere- main induced by the primary disease, frequency of catheterization, long-term caththeter indwelling, and underlying diseases, the difference was statistically significantc （P〈0.05）. CONCLUSION It is an effective way to reduce the incidence of the urinary tract infections after the ovarian cancer surgery to strengthen the nursing of the catheter indwelling, control the time of catheterization, strictly implement the aseptic techniques, advocate the physiologi- cal bladder irrigation , and intensify the mental nursing.

关 键 词：卵巢癌术后 尿路感染 易感因素 护理 

分 类 号：R619.3[医药卫生—外科学]