本文選題：輸尿管上段結(jié)石　切入點(diǎn)：微創(chuàng)　出處：《中華醫(yī)院感染學(xué)雜志》2017年16期 　論文類型：期刊論文

【摘要】：目的探討輸尿管上段結(jié)石微創(chuàng)治療術(shù)后醫(yī)院感染患者的影響因素,提出預(yù)防對策。方法選擇2013年12月-2016年6月期間在醫(yī)院行輸尿管上段結(jié)石微創(chuàng)治療的患者889例,對其術(shù)后感染情況進(jìn)行統(tǒng)計(jì),對于發(fā)生感染的患者采用醫(yī)院自制的調(diào)查表進(jìn)行統(tǒng)計(jì),內(nèi)容包括患者的性別、年齡、文化程度、術(shù)后情況等對其進(jìn)行相關(guān)危險(xiǎn)因素的分析,針對危險(xiǎn)因素分析結(jié)果,制定預(yù)防對策。結(jié)果術(shù)后發(fā)生感染的患者共有92例,感染發(fā)生率為10.35%,不同手術(shù)方案患者術(shù)后感染發(fā)生率差異無統(tǒng)計(jì)學(xué)意義;logistic多因素分析結(jié)果顯示,術(shù)后出血、術(shù)后疼痛、發(fā)生腎損傷以及結(jié)石殘余是術(shù)后患者發(fā)生醫(yī)院感染的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論對于輸尿管上段結(jié)石微創(chuàng)治療術(shù)后醫(yī)院感染患者,其影響感染發(fā)生的因素為術(shù)后出血、術(shù)后腎損傷、術(shù)后疼痛以及結(jié)石殘余,因此可根據(jù)以上因素給予合適的預(yù)防對策以減少醫(yī)院感染的發(fā)生。
[Abstract]:Objective to explore the influencing factors of nosocomial infection after minimally invasive treatment of upper ureteral calculi, and to put forward the preventive measures. Methods 889 patients with upper ureteral calculi received minimally invasive treatment in hospital from December 2013 to June 2016 were selected. The infection status after operation was statistically analyzed, and the hospital self-made questionnaire was used to analyze the related risk factors, such as sex, age, education level, postoperative condition and so on. Results there were 92 cases of postoperative infection, and the incidence of infection was 10.35. There was no significant difference in the incidence of postoperative infection among the patients with different surgical schemes. The logistic multivariate analysis showed that there was no significant difference between the two groups. Postoperative bleeding, postoperative pain, renal injury and residual stone were the independent risk factors of nosocomial infection in patients with postoperative nosocomial infection. Conclusion for patients with nosocomial infection after minimally invasive treatment of upper ureteral calculi, postoperative nosocomial infection may occur. The influencing factors of infection are postoperative bleeding, postoperative renal injury, postoperative pain and residual stone. Therefore, appropriate preventive measures can be given according to the above factors to reduce the incidence of nosocomial infection.
【作者單位】： 海南醫(yī)學(xué)院第一附屬醫(yī)院泌尿外科;
【基金】：海南省自然科學(xué)基金資助項(xiàng)目(812190)
【分類號】：R699.4

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本文編號：1632820