输尿管上段结石患者微创治疗术后医院感染的影响因素与预防  

Influencing factors for postoperative nosocomial infections in upper ureteral calculi patients undergoing minimally invasive surgery and prevention measures

作　　者：许思怡[1] 邓琴[1] 蒙小琴[1] 蔡文妍 商颖[1] 

机构地区：[1]海南医学院第一附属医院泌尿外科,海南海口570102

出　　处：《中华医院感染学杂志》2017年第16期3725-3728,共4页Chinese Journal of Nosocomiology

基　　金：海南省自然科学基金资助项目(812190)

摘　　要：目的探讨输尿管上段结石微创治疗术后医院感染患者的影响因素,提出预防对策。方法选择2013年12月-2016年6月期间在医院行输尿管上段结石微创治疗的患者889例,对其术后感染情况进行统计,对于发生感染的患者采用医院自制的调查表进行统计,内容包括患者的性别、年龄、文化程度、术后情况等对其进行相关危险因素的分析,针对危险因素分析结果,制定预防对策。结果术后发生感染的患者共有92例,感染发生率为10.35%,不同手术方案患者术后感染发生率差异无统计学意义;logistic多因素分析结果显示,术后出血、术后疼痛、发生肾损伤以及结石残余是术后患者发生医院感染的独立危险因素(P<0.05)。结论对于输尿管上段结石微创治疗术后医院感染患者,其影响感染发生的因素为术后出血、术后肾损伤、术后疼痛以及结石残余,因此可根据以上因素给予合适的预防对策以减少医院感染的发生。OBJECTIVE To explore the influencing factors for postoperative nosocomial infections in upper ureteral calculi patients undergoing minimally invasive surgery and put forward the prevention countermeasures.METHODS A total of 889 patients with upper ureteral calculi who received the minimally invasive surgery in the hospital from Dec 2013 to Jun 2016 were enrolled in the study, the incidence of postoperative infection was statistically analyzed, the self-designed questionnaire survey was conducted for the patients with infections, the related risk factors, including genders, age, education background and postoperative state, were analyzed, and the prevention countermeasures were put forward.RESULTS Totally 92 patients had postoperative infection, with the incidence rate of infections 10.35%, and there was no significant difference in the incidence rate of postoperative infections among the patients undergoing the different surgical procedures.The result of the multivariate logistic analysis showed that the postoperative hemorrhage, postoperative pain, renal injury and residual calculi were the independent risk factors for the postoperative nosocomial infections in the patients （P〈0.05）.CONCLUSION The influencing factors for the postoperative infections in the upper ureteral calculi patients undergoing the minimally invasive surgery include the postoperative hemorrhage, postoperative renal injury, postoperative pain and residual calculi.It is necessary to take targeted prevention countermeasures aiming at the above factors so as to reduce the incidence of nosocomial infections.

关 键 词：输尿管上段结石 微创 感染 影响因素 预防 

分 类 号：R693.4[医药卫生—泌尿科学]