妇产科手术患者常见感染发生机制及防治措施分析

摘要

Objective Analysis of common infection mechanism and prevention and treatment of gynecological surgery patients.Methods 746 cases of surgical treatment in our hospital were selected as the research object,the incidence of postoperative infection of patients were analyzed,and the corresponding preventive measures were formulated.Results In the department of obstetrics and gynecology,746 patients underwent surgery,51 cases was in infection. The most common infection site was respiratory infection,there was a significant difference compared with the urinary tract, the gastrointestinal tract,the uterine cavity and the incision site (P<0.05). Multiple population aged over 50 years old,compared with 21 to 30 years old,31 to 40 years old,41 to 50 years old patients,the difference was statisticaly significant(P<0.05). The infection related factors include operation time in more than 2 hours,basic diseases,invasive operation,open operation,no the preventive use of antibiotics.Conclusion To summarize the pathogenesis of common infection risk factors in gynecologic surgery patients,and put forward the corresponding prevention measures, so as to reduce the incidence of postoperative infection.%目的：对妇产科手术患者常见的感染发生机制进行分析，并提出相应的预防措施。方法选取我院妇产科收治的行手术治疗的746例患者，对术后患者感染的发生机制进行分析，并制定相应的防治措施。结果在746例行手术的妇产科患者中，有51例出现感染，在感染患者中，感染部位以呼吸道感染最多见，与泌尿道、胃肠道、宫腔以及切口部位比较，差异有统计学意义（P＜0.05）；多发人群为50岁以上老年患者，与21～30岁、31～40岁、41～50岁患者相比较，差异有统计学意义（P＜0.05）；感染的相关因素主要有手术时间＞2 h、行侵入性操作、基础疾病、开腹手术、未预防性使用抗菌药物。结论通过对妇产科手术患者常见的感染危险因素的发病机制进行总结，提出相应的防治措施，从而减少术后感染的发生。