妇科患者手术后盆腔感染因素分析  

Analysis on the risk factors of postoperative pelvic infections of patients with gynecological operation

作　　者：韩备飞[1] 应翡蓉[1] 孔静娴[1] 刘莉萍[1] 

机构地区：[1]宁波大学医学院附属医院妇一科,浙江宁波315020

出　　处：《中华医院感染学杂志》2014年第11期2795-2796,2799,共3页Chinese Journal of Nosocomiology

基　　金：吴阶平医学基金会临床科研专项基金资助项目(2011-427-2078)

摘　　要：目的探讨妇科患者术后盆腔感染的危险因素,以针对危险因素进行预防性措施的制定。方法选取2010年11月-2013年8月进行手术治疗的225例妇科患者为研究对象,将其术后盆腔感染发生率进行统计,并对不同年龄、盆腔感染史、基础疾病、引流管留置、手术种类及体质量指数(BMI)的感染率进行比较,另将上述因素与感染相关性进行分析。结果 225例妇科手术患者中14例发生术后盆腔感染,感染率为6.22%,其中年龄>50岁、有盆腔感染史、伴有基础疾病、术后留置引流管、开放式手术、BMI>29kg/m2的患者感染率,分别为13.33%、27.23%、13.79%、10.96%、12.66%、15.56%,均分别高于其他患者,且上述因素均与感染发生具有密切相关性,差异有统计学意义(P<0.05)。结论年龄较高、有盆腔感染史、伴有基础疾病、术后留置引流管、开放式手术及肥胖均是术后盆腔感染的高危因素,因此对于妇科盆腔手术患者围术期应注重对这些因素的预防性干预,以降低感染的发生,改善患者预后。OBJECTIVE To explore and study the high risk factors of postoperative pelvic infections of patients with gynecological operation,in order to make the preventive measures aiming at the high risk factors. METHODS A total of 225 patients with gynecological operation in our hospital from Nov. 2010 to Aug. 2013 were selected as research objects ,and the pelvic infection rates of all the patients were counted, then the infection rates of patients with different ages, pelvic infection history, underlying diseases, drainage tube indwelling,operation types and BMI were compared,and the correction between these factors and infection was analyzed. RESULTS A total of 14 cases of 225 patients with gynecological operation were with postoperative pelvic infection, and the infection rate was 6.22%,and the rate Of patients with over 50 years old was 13. 33%, the rate of patients with pelvic infection history was 27. 23%, the rate of patients with underlying disease was 13. 79%, the rate of patients with postoperative drainage tube indwelling was 10.96%, the rate of patients with open operation was 12.66 %, the rate of patients with BMI〉30 was 15. 56%, they were respectively higher than those of other patients, and those factors all had close correction to the infections. The difference between the two groups was significant （P d0.05）. CONCLUSIONS The advanced age, pelvic infection history, underlying diseases,drainage tube indwelling, open operation and BMI〉29 are all the risk factors of postoperative pelvic infections of patients with gynecological operation. Therefore, preventive intervention of these factors should be stressed for the patients with gynecological pelvic surgery during perioperative period in order to reduce the incidence of infections and improve the prognosis of patients.

关 键 词：妇科手术 盆腔感染 高危因素 

分 类 号：R619.3[医药卫生—外科学]