妇科肿瘤患者术后盆腔感染的危险因素分析  

The risk factor analysis for postoperative pelvic infections in patients with gynecological tumor

作　　者：夏婷[1] 方静[1] 杨悦[1] 朱笕青[1] 

机构地区：[1]浙江省肿瘤医院妇科,浙江杭州310022

出　　处：《中华医院感染学杂志》2015年第4期914-916,共3页Chinese Journal of Nosocomiology

基　　金：浙江省自然科学基金资助项目(Y2100593)

摘　　要：目的探讨妇科肿瘤患者术后盆腔感染的相关危险因素,并分析其发生原因制定相应控制措施,以降低感染率。方法选择2010年1月-2013年9月在医院收治的450例妇科良、恶性肿瘤患者,分析患者感染率、年龄、手术持续时间、合并其他慢性病、术前盆腔感染史、手术方式、术前化疗、术后应用抗菌药物、术后留置导管及术后卧床时间等相关因素与感染的相关性,数据采用SPSS13.0软件进行统计分析。结果 450例妇科肿瘤患者发生盆腔感染39例,感染率为8.67%;年龄>60岁、手术持续时间>2h、合并其他慢性病、术前有盆腔感染史、开放式手术方式、术前接受化疗、术后应用抗菌药物、术后留置导管及术后卧床时间>7d的肿瘤患者感染率,分别为15.11%、12.92%、16.13%、16.67%、10.41%、12.10%、13.25%、10.90%及17.40%,均高于其他患者,差异有统计学意义(P<0.05)。结论妇科肿瘤术后盆腔感染率与年龄、手术持续时间、合并其他慢性病、术前盆腔感染史、手术方式、术前化疗、术后应用抗菌药物、术后留置导管及术后卧床时间等相关,针对相关危险因素采取预防措施,可降低妇科肿瘤患者术后盆腔感染的发生率。OBJECTIVE To explore the related risk factors of patients with pelvic infections after the surgery of gynecological tumor,and analyze the causes and the control measures so as to reduce the infection rate.METHODS Totally 450 patients with benign and malignant gynecological tumors in hospital from Jan.2010 to Sep.2013 were selected randomly.The infection rate was observed as well as the correlation between infections and related factors such as patient age,operation time,combination with other chronic diseases,preoperative pelvic infection history,operation methods,preoperative chemotherapy,postoperative application of antibiotics,indwelling catheter after operation,and postoperative bed-rest time.RESULTS Pelvic infections occurred in 39 of 450 patients with gynecological tumor,the infection rate was 8.67%.The patients with age above 60 years,surgery duration 2h,combination with other chronic diseases,preoperative pelvic infection history,open operation way,preoperative chemotherapy,postoperative use of antibiotics,postoperative indwelling catheter and postoperative bed-rest time 〉7dhad infection rates of 15.11%,12.92%,16.13%,16.67%,10.41%,12.10%,13.25%,10.90%and 17.40%,respectively,significantly higher than those of other patients（P 〈0.05）.CONCLUSION Postoperative pelvic infection rate is correlated with age,surgery duration,combination with other chronic diseases,preoperative pelvic infection history,operation methods,preoperative chemotherapy,postoperative use of antibiotics,postoperative indwelling catheter and postoperative bed-rest time.Preventive measures targeting at the related factors can reduce pelvic infection after gynecologic tumor surgery.

关 键 词：妇科 肿瘤患者 术后 盆腔感染 危险因素 

分 类 号：R711.33[医药卫生—妇产科学]