高龄子宫切除术后患者腹腔感染危险因素分析及干预对策  

Risk factors of abdominal infection for elderly patients receiving hysterectomy and intervention strategy

作　　者：杨艳华[1] 吴军[1] 黄银娥[2] 

机构地区：[1]天门市第一人民医院妇产科,湖北天门431700 [2]天门市第一人民医院检验科,湖北天门431700

出　　处：《中国性科学》2017年第4期48-51,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨高龄患者在子宫切除术后发生腹腔感染的高危因素,为降低患者感染的发生率,以期提高该类妇科疾病的临床治疗效果提供理论依据。方法:选取2013年2月至2015年2月医院收治的高龄子宫切除术患者86例作为研究对象,根据术后是否发生腹腔感染分成两组,其中感染组有22例,非感染组患者64例,回顾性分析两组患者的临床资料,并进行统计和分析,应用单因素和多因素Logistic回归法统计与腹腔感染相关的因素。结果:86例进行子宫切除术高龄患者中,感染的发生率为25.58%;其中感染组中高龄子宫切除术患者的年龄≥70岁、合并糖尿病、术前进行化疗、肺部感染,与非感染组患者进行比较,差异具有统计学意义(P<0.05);两组患者的术后镇痛、胃部排空延迟的感染例数进行了比较,差异没有统计学意义(P>0.05);两组患者手术时间、血红蛋白进行比较,差异具有统计学意义(P<0.05);两组患者的术中输血量、术中出血量和谷丙转氨酶比较,差异没有统计学意义(P>0.05);患者的年龄≥70岁、合并糖尿病、术前化疗、肺部感染、手术时间过长、血红蛋白过低都是高龄子宫切除术患者术后发生腹腔感染的独立高危因素。结论:高龄患者在子宫切除术后发生腹腔感染相关的影响因素较多,要求医务人员在整个治疗过程加强感染的控制工作,降低腹腔感染的发生率。Objectives： To investigate the risk factors of abdominal infection in elderly patients receiving hysterectomy, in order to provide basis for reducing the incidence of infection and improving the clinical treatment of gynecological diseases. Methods： 86 elderly patients received hysterectomy in the hospital from February 2013 to February 2015 were selected and. according to the postoperative abdominal infection, were randomly divided into two groups, infection group （22 cases） and non- infection group （64 cases）. The clinical data was retrospectively analyzed and related risk factors were analyzed through univariate and multivariate logistic regression. Results： In the 86 elderly patients, the infection rate was 25.58%. Difference in the elderly hysterectomy patient＇s age /〉70 years, diabetes, preoperative chemotherapy and lung infections between the two groups was statistically significant. Difference in the postoperative pain and delayed gastric emptying of infection between the two groups was not statisti- cally significant. Difference in the operative time and hemoglobin was statistically significant, while difference in the intraoperative blood transfusion, blood loss and alanine aminotransferase was not statistically significant. The age t〉 70 years, diabetes, preoperative chemotherapy, lung infection, surgery time being too long and low hemoglobin con- tent were all independent risk factors of patients with postoperative abdominal infection. Conclusion： Elderly pa- tients have many related influencing factors of postoperative abdominal infection after hysterectomy, which requires medical personnel to strengthen infection control throughout the treatment process in order to reduce the incidence of abdominal infection.

关 键 词：腹腔感染 高龄 子宫切除术 危险因素 干预对策 

分 类 号：R713.42[医药卫生—妇产科学]