直肠癌患者腹腔镜根治术后感染的临床分析与预防  

Clinical factors and nursing intervention in patients with rectal cancer got infections after laparoscopic radical operation

作　　者：刘菲[1] 张启新[1] 刘文佳[2] 高静[1] 亓艳[1] 

机构地区：[1]莱芜市人民医院普外科,山东莱芜271199 [2]山东省立医院神经外科,山东济南250000

出　　处：《中华医院感染学杂志》2016年第15期3481-3483,共3页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(2014ZRC03123)

摘　　要：目的分析直肠癌经腹腔镜根治术后医院感染的临床因素,并探讨护理干预措施,为临床指标提供参考依据。方法回顾性分析2010年4月-2015年4月收治的571例接受腹腔镜根治术治疗的直肠癌患者临床资料,分析其发生感染相关因素,数据采用SPSS 18.0软件进行统计分析。结果 571例患者中,62例发生医院感染,感染率为10.9%;多因素回归分析显示,体质量指数、手术时间、胃肠功能恢复时间、住院时间、合并糖尿病,是直肠癌患者腹腔镜根治术后发生医院感染的独立危险因素(P<0.05)。结论直肠癌患者经腹腔镜根治术后医院感染发生率较高,这与其身体状态、手术操作等多种因素有关,针对患者医院感染的危险因素,完善术前准备、规范术中操作、落实术后管理,是降低患者医院感染风险的前提,也是提高医疗质量、改善患者预后的重要保障。OBJECTIVE To analyze the clinical factors of the infections in the patients with rectal cancer after laparoscopic radical resection,and to explore the nursing intervention measures,so as to provide reference for clinic.METHODS The clinical data of 571 patients with rectal cancer who were treated by laparoscopic radical operation in our hospital from Apr.2010 to Apr.2015 had been given a retrospective analysis and the relative factors causing infection were analyzed,using SPSS 18.0to analyze.RESULTS Among the 571 patients,there were 62 cases of nosocomial infections,with infection rate of 10.9%.Multivariate regression analysis showed that body mass index,the operation time,the time of gastrointestinal function recovery,the hospitalization time and diabetes were independent risk factors for postoperative nosocomial infections in patients with rectal cancer（P 0.05）.CONCLUSION The incidence of infection in patients with rectal cancer after laparoscopic radical resections is high,which is related to the physical condition and operation.Considering the risk factors of nosocomial infections,improving the preparation of operation,regulating the intraoperative operating and implementing the postoperation management are the premises to reduce the risk of nosocomial infections and the important protection to improve medical quality and improve prognosis.

关 键 词：直肠癌 腹腔镜根治术 医院感染 危险因素 护理干预 

分 类 号：R181.32[医药卫生—流行病学]