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目的探讨妇科腹腔镜术后切口感染的病原菌分布及相关因素,以期为预防感染的发生及感染的后期治疗提供帮助。方法回顾性分析2013年10月-2015年5月于医院妇科1 369例行腹腔镜手术患者临床资料,分析不同术式感染率,并分析感染的病原菌分布及相关因素,数据采用SPSS 20.0软件进行统计分析。结果 1 369例妇科腹腔镜手术患者中63例发生切口感染,发生率为4.60%;共检出57株病原菌,以革兰阴性菌为主,共43株占75.44%;相关因素分析显示,体质量指数≥25kg/m2、手术时间≥60min、术前患者伴有基础疾病、血红蛋白<110g/L、未预防应用抗菌药物是患者腹腔镜术后发生切口感染的相关危险因素(P<0.05)。结论妇科腹腔镜术后切口感染风险高,影响因素较多,为降低术后切口感染率,需积极采取有效的措施。
Objective To investigate the distribution of pathogenic bacteria in incision infection after gynecological laparoscopic surgery and related factors so as to help prevent the occurrence of infection and the late treatment of infection. Methods The clinical data of 1 369 laparoscopic gynecological patients in our hospital from October 2013 to May 2015 were retrospectively analyzed. The infection rates of different surgical procedures were analyzed, and the distribution of pathogens and related factors were analyzed. The data were analyzed by SPSS 20.0 software Statistical Analysis. Results In 369 cases of gynecologic laparoscopic surgery, 63 cases were infected with incision infection, the incidence was 4.60%. 57 pathogens were detected, of which, Gram-negative bacteria were the main types, with 43 strains accounting for 75.44%. Correlation analysis showed that body The quality index ≥25kg / m2, operation time ≥60min, preoperative patients with underlying disease, hemoglobin <110g / L, non-prophylactic use of antibiotics is associated with laparoscopic incision infection risk factors (P <0.05). Conclusions There is a high risk of incision infection after gynecological laparoscopic surgery and there are many influencing factors. In order to reduce the incision infection rate, effective measures should be actively taken.