本文選題：宮腔鏡手術(shù) + 醫(yī)院感染�。� 參考：《中華醫(yī)院感染學雜志》2015年10期

【摘要】：目的探討宮腔鏡手術(shù)后患者合并醫(yī)院感染及相關(guān)因素,為降低宮腔鏡術(shù)后醫(yī)院感染的發(fā)生提供依據(jù)。方法選取2009年1月-2014年11月醫(yī)院89 037例行宮腔鏡手術(shù)治療患者,對術(shù)后發(fā)生醫(yī)院感染患者的臨床資料進行統(tǒng)計分析,分析其感染特點及其相關(guān)危險因素、主要致病菌,探討預(yù)防醫(yī)院感染的有效方法及護理措施。結(jié)果 89 037例宮腔鏡手術(shù)患者術(shù)后感染88例,感染率為0.10%,感染類型以子宮內(nèi)膜炎為主,占69.32%,其次為子宮肌內(nèi)膜炎和盆腔炎,分別占15.91%和7.95%;共檢出病原菌150株,前4位病原菌依次為鏈球菌屬、大腸埃希菌、葡萄球菌屬、腸球菌屬,分別占30.67%、22.00%、16.67%、14.00%;宮腔鏡手術(shù)后患者年齡、體質(zhì)量指數(shù)、手術(shù)時間、手術(shù)等級、子宮大小、術(shù)前炎癥、預(yù)防應(yīng)用抗菌藥物為宮腔鏡手術(shù)后患者醫(yī)院感染相關(guān)因素(P0.05)。結(jié)論導(dǎo)致宮腔鏡手術(shù)后醫(yī)院感染相關(guān)危險因素較多,患者伴有合并癥、術(shù)前存在炎癥、手術(shù)等級高及子宮肌壁的損傷嚴重均提高了宮腔鏡手術(shù)后醫(yī)院感染率,在治療護理過程中應(yīng)嚴格控制無菌,加強器械消毒,預(yù)防性使用抗菌藥物,以便預(yù)防或降低醫(yī)院感染的發(fā)生率。
[Abstract]:Objective to investigate the nosocomial infection after hysteroscopic surgery and its related factors, and to provide evidence for reducing nosocomial infection after hysteroscopy. Methods from January 2009 to November 2014, 89,037 patients undergoing hysteroscopic surgery were selected, and the clinical data of patients with nosocomial infection after operation were statistically analyzed, and the infection characteristics and related risk factors were analyzed, and the main pathogenic bacteria were analyzed. To explore the effective methods and nursing measures to prevent nosocomial infection. Results 88 cases (0.10%) were infected after hysteroscopic surgery. The main type of infection was endometritis (69.32%), followed by endometritis (15.91%) and pelvic inflammatory disease (7.95%), 150 strains of pathogenic bacteria were detected. The first four pathogenic bacteria were Streptococcus, Escherichia coli, Staphylococcus, Enterococcus, respectively, which accounted for 30.670.00 and 16.677.00. The age, body mass index, operative time, surgical grade, uterine size, preoperative inflammation, and posthysteroscopic operation of the patients were all higher than that of the control group, and the first four pathogens were Streptococcus, Escherichia coli, Staphylococcus and Enterococcus, respectively. Prophylactic use of antimicrobial agents was associated with nosocomial infection after hysteroscopic surgery (P0.05). Conclusion there are many risk factors associated with nosocomial infection after hysteroscopic surgery, with complications, inflammation before operation, high grade of operation and serious injury of uterine muscle wall, all of which increase the nosocomial infection rate after hysteroscopic surgery. In order to prevent or reduce the incidence of nosocomial infection, sterilizing instruments and prophylactic use of antimicrobial agents should be strictly controlled in the course of treatment and nursing.
【作者單位】： 首都醫(yī)科大學附屬北京婦產(chǎn)醫(yī)院計劃生育科;
【基金】：國家自然科學基金資助項目(1200320306)
【分類號】：R713

【參考文獻】

相關(guān)期刊論文 前4條

1 范光升;李琳;;婦科腹腔鏡手術(shù)并發(fā)癥[J];中國計劃生育學雜志;2011年01期

2 吳芳;;婦科腹腔鏡術(shù)后感染及并發(fā)癥的觀察與護理[J];中華醫(yī)院感染學雜志;2012年05期

3 黃浩梁;周海燕;姜慧君;袁丁;黃鳳華;;宮腔鏡手術(shù)并發(fā)癥的分析與防治[J];中國微創(chuàng)外科雜志;2012年03期

4 黃文蓉;修春梅;林瑞蓮;;婦科腹腔鏡術(shù)后感染的相關(guān)因素分析[J];中華醫(yī)院感染學雜志;2013年16期

【共引文獻】

相關(guān)期刊論文 前10條

1 陳麗萍;;婦科腹腔鏡術(shù)中并發(fā)癥的預(yù)防和護理[J];中國醫(yī)藥科學;2012年04期

2 陳R，

本文編號：2064185