妇产科腹部手术切口感染的护理对策及防护措施.docVIP

精品论文 参考文献 妇产科腹部手术切口感染的护理对策及防护措施 哈尔滨市阿城区妇幼保健计划生育服务中心 黑龙江哈尔滨 150300 【摘 要】目的：探讨妇产科腹部手术切口感染的原因，对相关因素进行分析并提出护理对策，为其寻找最佳的预防措施与方法。方法：选取2014年６月－2015年７月妇产科腹部手术患者90例，并对其临床资料进行回顾性分析，从患者自身、手术及用药３个方面分析切口感染的相关因素。结果90例妇产科腹部手术患者中有5例出现切口感染，感染率为4.62％；经对比发现，自身因素中，年龄ge;60岁、ＡＳＡ分级Ⅲ级、血红蛋白水平＜110ｇ／Ｌ、体重指数ge;22、住院时间＞7d及伴有基础疾病或感染与切口感染相关，感染率分别为 2.50％、3.06％、4.58％、2.60％、6.24％、2.15％，差异有统计学意义（Ｐ＜0.05）；手术因素中，手术时间ge;2h、急诊手术、接台及非主刀缝合人员与切口感染相关，感染率分别为2.23％、4.14％、2.62％、1.89％，差异有统计学意义（Ｐ＜0.05）；用药因素中，预防性应用抗菌药物和围术期用药等因素与切口感染相关，差异有统计学意义（Ｐ＜0.05）。结论：妇产科腹部手术切口感染的影响因素较多，在围术期应引起重视，及时采取相应的护理措施，降低切口感染的发生率，保证患者的生命健康。 【关键词】妇产科腹部手术；切口感染；护理对策 Nursing Countermeasures and Protective Measures of Abdominal Incision Infection in Obstetrics and Gynecology Abstract：Objective：To explore the causes of incisional infection in abdominal surgery of obstetrics and gynecology，analyze the relevant factors and put forward nursing measures，and find the best preventive measures and methods.Method：Select From June 2014 to July 2015，90 patients undergoing abdominal surgery in obstetrics and gynecology were retrospectively analyzed，and the related factors of incisional infection were analyzed from the aspects of patients themselves，operation and medication.Results Among the 90 cases，90 cases were incisional infection，the infection rate was 4.62%.The results showed that the age，sex and age were 60 years old，ASA grade Ⅲ，hemoglobin lt;110g / L，body mass index The infection rates were 2.50%，3.06%，4.58%，2.60%，6.24% and 2.15%，respectively.The difference was statistically significant（P lt;0.05），and the infection rate was 2.50%），Infection rate was 2.23%，4.14%，2.62%，1.89%，the difference was statistically significant（P lt;0.05），the operative time，0.05）.There were significant differences in drug use，antibiotic prophylaxis and perioperative drug use（P lt;0.05）.Conclusion：There are many influencing factors of abdominal incision infection in obstetrics and gynecology.In the perioperative period，attention should be paid to the appropriate nursing measu