摘要
目的 分析老年阴式子宫切除术后医院感染的易感因素,提出相应的护理对策降低感染率.方法对我院2010年1月~2013年9月收集的236例老年阴式子宫切除术患者资料进行回顾性分析.结果 236例患者中发生医院感染38例,分别为尿路感染和阴道残端感染,发生率为16.10%,其中年龄＞70岁、出血量大、剖宫产及盆腔病史、抗生素使用史、营养状况差、手术时间长、合并糖尿病、子宫＞12孕周是老年阴式子宫切除术医院感染主要易感染因素.结论术前综合评估,采取针对性的护理,控制一切可控制的因素是降低老年阴式子宫切除术后感染率的重要手段.
Objective To analyze the susceptible factors of nosocomial infection after elderly trans-vaginal hysterectomy, and propose the corresponding nursing measures to reduce infection rate. Methods The clinical 236 patients treated with elderly trans-vaginal hysterectomy from January 2010 to September 2013 was analyzed retrospectively. Results For the patients, there were 38 cases with nosocomial infection included urinary tract infection and vaginal stump infection, and the incidence rate was 16.10%. And age〉70 years, large bleeding volume, history of cesarean section and pelvic cavity, history of using antibiotics, bad nutrition, long operation time, combined diabetes mellitus and uterus 〉 12 weeks were main susceptible factors of nosocomial infection after elderly trans-vaginal hysterectomy. Conclusion Comprehensive assessment before operation, taking specific nursing measures, and controlling controllable factors are important means to reduce the infection rate after elderly trans-vaginal hysterectomy.
出处
《中国现代医生》
2014年第3期23-25,共3页
China Modern Doctor
基金
江西省医学会科研项目(2011-NO.B047)
关键词
老年人
阴式子宫切除术
医院感染
易感因素
护理对策
Elderly
Trans-vaginal hysterectomy
Nosocomial infection
Susceptible factors
Nursing measures
