阴式子宫切除术后医院感染预防  

Prevention of nosocomial infections after vaginal hysterectomy

作　　者：易小英[1] 程琪梅 朱雯惠[3] 

机构地区：[1]黄冈市中心医院妇产科,湖北黄冈438000 [2]黄冈市中心医院外科,湖北黄冈438000 [3]荆州市中心医院妇产科,湖北荆州434020

出　　处：《中华医院感染学杂志》2013年第14期3428-3429,3432,共3页Chinese Journal of Nosocomiology

基　　金：湖北省荆州市医药卫生科技攻关项目(200322)

摘　　要：目的探讨阴式子宫切除术后感染预防途径选择,以有效预防阴式子宫切除术后感染。方法将2008年7月-2012年7月入住医院的50例行阴式子宫切除术后感染患者作为研究组,另外选择同期收治的50例行阴式子宫切除术未感染的患者作为对照组,对研究组感染的病原菌进行分析,采用Pearson单因素分析及logistic多元回归分析的方法,对引起阴式子宫切除术后感染的因素进行分析。结果研究组50例感染患者中共分离出50株病原菌,检出革兰阳性菌25株占50.0%,革兰阴性菌21株占42.0%,真菌4株占8.0%;根据Pearson单因素分析法筛选出两组患者在手术时间、术中出血量、住院时间及剖宫产史等方面差异有统计学意义(P<0.05);多因素logistic回归分析结果显示,手术时间、术中出血量及剖宫产史为导致阴式子宫切除术后感染的危险因素。结论手术时间、术中出血量及剖宫产史为引起阴式子宫切除术后感染的危险因素,应在临床治疗中加以重视,并科学地选择预防途径,降低术后感染的发生率。OBJECTIVE To investigate prevention approaches of infections after vaginal hysterectomy so as to effectively prevent the infections after the vaginal hysterectomy.METHODS A total of 50 cases of patients with pulmonary infections,who underwent the vaginal hysterectomy in the hospital from Jul 2008 to Jul 2012,were selected as the study group,while the patients without pulmonary infections were set as the control group.The pathogens of the study group was analyzed firstly,and then the causes of postoperative pulmonary infections were analyzed by using the Pearson univariate analysis and multivariate logistic regression analysis method.RESULTS Of the 50cases of patients with infections in study group,totally 50strains of pathogens were isolated,among which there were 25（50.0%）strains of gram-positive bacteria,21（42.0%）strains of gram-negative bacteria,and 4（8.0%）strains of fungi.The Pearson univariate analysis indicated that the difference in the operation duration,intraoperative blood loss,length of hospital stay,or history of cesarean section between the two groups was significant（P0.05）;the multivariate logisticregression analysis showed that the operation duration,intraoperative blood loss,and history of cesarean section were the risk factors for the nosocomial infections after the vaginal hysterectomy.CONCLUSIONThe operation duration,intraoperative blood loss,and history of cesarean section are the risk factors for nosocomial infections after vaginal hysterectomy,thus the hospitals should focus on its clinical treatment and choose effective prevention approach so as to reduce the incidence of postoperative infections.

关 键 词：阴式子宫切除术 术后感染 预防 

分 类 号：R181.32[医药卫生—流行病学]