【摘要】 目的通过对妇科就诊的子宫肌瘤患者术后发生医院感染进行分析,寻找导致子宫肌瘤患者术后医院感染的危险因素,为预防和治疗医院感染提供参考。方法对2011年1-12月妇科进行子宫肌瘤手术的106例患者为研究对象,对患者的临床资料进行回顾性分析,找出子宫肌瘤患者术后发生医院感染有统计学意义的危险因素,并对其进行非条件logistic回归分析,找出独立危险因素,数据均采用SPSS16.0软件进行统计分析。结果子宫肌瘤患者术后医院感染21例,感染率为19.81%,经logistic回归分析结果显示,贫血(β=0.903,OR=2.555)、术后住院天数(β=2.146,OR=7.141)、抗菌药物使用(β=2.018,OR=6.395)、术前阴道检查次数(β=1.920,OR=5.898)这4个因素是导致医院妇科子宫肌瘤患者术后发生医院感染的独立危险因素,且因这4个因素的感染率分别为:贫血41.18%、术后住院天数≥7d10.00%、使用抗菌药物25.97%、阴道检查次数>2次40.00%。结论子宫肌瘤患者术后发生医院感染的情况不容忽视,临床过程中应注意无菌操作,以及术后抗菌药物的合理使用,另外应加强患者自身免疫力,尽量降低子宫肌瘤患者术后医院感染的发生率。更多还原

【Abstract】 OBJECTIVE To explore risk factors that easily lead to nosocomial infections after uterine fibroids surgery according to a statistics in gynecology department,so as to provide reference for the prevention and treatment of nosocomial infections.METHODS 106patients selected were who had uterine fibroids surgery during Jan-Dec 2011,a retrospective analysis made was to the diagnosis data of the patients,and the risk factors found out were with statistical difference causing nosocomial infections,then conducted an unconditioned retrospective analysis on them and determined independent risk factors.All the data were collected and analyzed with SPSS 16.0software.RESULTS There were 21cases suffered from nosocomial infection after uterine fibroids surgery with an infection rate of 19.81%;According to logistic retrospective analysis,anemia(β=0.903,OR=2.555),length of stay after the surgery(β=2.146,OR=7.141),antibacterial agents(β=2.018,OR=6.395)and times of examination after the surgery(β=1.920,OR=5.898)were the four independent risk factors causing nosocomial infections after uterine fibroids surgery;the number of cases and infection rate of the four factors were:7cases accounting for 41.18%(anemia),4cases accounting for 10.00%(length of stay after the surgery≥7days),20cases accounting for 25.97%(antibacterial agents)and 6cases accounting for 40.00%(times of examination after the surgery>2 times).CONCLUSION The occurrence of postoperative nosocomial infection that happened to uterine fibroids patients should not be ignored;aseptic operation should be required in clinical process,and the rational use of antimicrobial drugs is also necessary after operation.In addition,immune system of patients should also be strengthened to minimize as far as possible the occurrence of postoperative nosocomial infection after uterine fibroids surgery.更多还原