妇产科患者手术后医院感染因素分析  

Analysis of related factors of nosocomial infections in obstetrics and gynecology patients after operation

作　　者：牟宗梅[1] 王凌燕 陈秀娟[1] 徐国强[3] 

机构地区：[1]日照市人民医院妇科,山东日照276826 [2]日照市石臼社区服务中心,山东日照276800 [3]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《中华医院感染学杂志》2014年第11期2797-2799,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(81070366)

摘　　要：目的调查妇产科患者手术后医院感染发生情况,探讨其危险因素和相关对策,以制定相应的护理措施控制与降低医院感染的发生率。方法采用回顾性调查方法,对医院2012年1月-2013年1月的2 358例妇产科手术患者(妇科1 502例、产科956例)进行手术后医院感染的调查、统计和分析。结果 2 358例妇产科手术患者术后发生医院感染129例,感染率5.47%;其中妇科患者医院感染率为7.12%、产科患者为2.30%;常见感染部位妇科患者依次为呼吸道、泌尿道、胃肠道,分别占52.34%、24.30%、13.08%,产科患者主要以呼吸道、泌尿道感染为主,各占36.36%;妇科病房中高龄、化疗患者是医院感染的高危人群,且住院时间越长感染率越高,妊娠合并并发症的患者是产科的高危人群。结论密切监测高龄患者、减少侵入性操作、严格无菌操作、加强病房管理、基础护理和健康教育,可降低妇产科患者医院感染的发生。OBJECTIVE To analyze the incidence of nosocomial infections in patients after operation in obstetrics and gynecology, and to explore the risk factors of hospital infections and countermeasures, in order to make the corresponding nursing measures to control and reduce the incidence of hospital infections. METHODS The clinical data of 2358 patients with obstetrics and gynecological operation in our hospital from Jan 2012 to Jan 2013 were analyzed retrospectively. RESULTS Among 2358 patients with operation, the hospital infections occurred in 129 cases, with the infection rate 7. 12%. The nosocomial infection rate of gynecological patients was 7. 12%, and that of obstetrics patients was 2. 30%. The common infection sites in gynecological patients were respiratory tract, urinary tract and gastrointestinal tract, accounting for 52.34 %, 24.30 %, 13.08 % respectively, while those of obstetrics patients were respiratory tract and urinary tract, accounting for 36. 36% respectively. In gynecological ward elderly patients and chemotherapy patients were high risk population of nosocomial infections, and the longer the length of stay time was, the higher infection rate was. In obstetric ward patients with pregnancy complications were high risk population. CONCLUSION Close monitoring of elderly patients, reduceing the invasive operation, strict aseptic operation, strengthening ward management, basic nursing and health education can reduce the incidence of nosocomial infections.

关 键 词：妇产科 患者 医院感染 危险因素 

分 类 号：R619.3[医药卫生—外科学]