眼睑成形术后发生医院感染的危险性因素及护理对策  

Risk Factors and Nursing Countermeasures of Nosocomial Infection After Blepharoplasty

作　　者：陈婧 郑丽梅[1] 马丽平[1] CHEN Jing;ZHENG Li-mei;MA Li-ping(Department of Infection Surveillance,Jiamusi Central Hospital,Jiamusi 154000,Heilongjiang,China)

机构地区：[1]佳木斯市中心医院感染监控科,黑龙江佳木斯154000

出　　处：《医学信息》2024年第4期164-167,共4页Journal of Medical Information

摘　　要：目的探究眼睑成形术后医院感染的危险因素,并提出护理措施。方法选取2018年12月-2021年12月佳木斯市中心医院接受眼睑成形术治疗的60例患者,按照术后医院感染的发生情况分为感染组(15例)与非感染组(45例),比较两组年龄、性别、手术方式、手术时间、术前抗菌药物治疗、术后抗菌药物使用时间、术后遵医嘱率,分析眼睑成形术后医院感染的危险因素。结果感染组与非感染组手术方式、手术时间、术前抗菌药物治疗、术后抗菌药物使用时间、术后遵医嘱率比较,差异有统计学意义(P<0.05)。Logistic线性回归分析显示,手术方式、术后抗菌药物使用时间、术后遵医嘱率是引起眼睑成形术后医院感染的独立危险因素(P<0.05)。结论眼睑成形术后医院感染的危险因素包括手术方式、术后抗菌药物使用时间及术后遵医嘱率,需针对性加强其围术期护理,以降低患者的术后感染风险。Objective To explore the risk factors of nosocomial infection after blepharoplasty and put forward nursing countermeasures.Methods A total of 60 patients who underwent blepharoplasty in Jiamusi Central Hospital from December 2018 to December 2021 were selected and divided into infection group(15 patients)and non-infection group(45 patients)according to the incidence of postoperative nosocomial infection.The age,gender,operation method,operation time,preoperative antibiotic treatment,postoperative antibiotic use time,postoperative compliance rate were compared between the two groups,and the risk factors of nosocomial infection after eyelid plasty were analyzed.Results There were statistically significant differences in surgical methods,operation time,preoperative antibiotic treatment,postoperative antibiotic use time,and postoperative compliance rate between the infection group and the non-infection group(P<0.05).Logistic linear regression analysis showed that operation mode,postoperative antibiotic use time and postoperative compliance rate were independent risk factors for nosocomial infection after eyelid plasty(P<0.05).Conclusion The risk factors of nosocomial infection after blepharoplasty include surgical methods,postoperative antibiotic use time and postoperative compliance rate.It is necessary to strengthen the perioperative nursing to reduce the risk of postoperative infection.

关 键 词：眼睑成形术 医院感染 危险因素 护理措施 

分 类 号：R473[医药卫生—护理学]