摘要
目的探讨宫颈癌患者术后合并肺部感染的危险因素及预防对策,以降低肺部感染率。方法回顾性分析2009年6月-2012年9月190例宫颈癌手术患者临床资料,34例感染患者为肺部感染组,156例未感染患者为无肺部感染组;分析肺部感染危险因素,制定出有效预防对策,数据采用SPSS18.0进行分析。结果 190例患者共有34例发生肺部感染,感染率为17.89%,肺部感染主要与年龄、肥胖、吸烟史、肺部既往疾病、脑血管病史、术中抗菌药物的使用以及血流阻断、术后镇痛泵的使用、术后呼吸机的使用等相关因素有关(P<0.01);肺部感染组的手术时间和术中出血量均高于无肺部感染组,两组比较,差异有统计学意义(P<0.05)。结论进行术前健康宣教,术中的严格无菌操作以及术后加强患者口腔、呼吸道护理可以有效降低宫颈癌患者的肺部感染发生率,适合在临床推广应用。
OBJECTIVE To explore the risk factors for postoperative pulmonary infections in the cervical cancer patients and put forward prevention countermeasures so as to reduce the incidence of pulmonary infections.METHODS The clinical data of 190 cervical cancer patients who underwent surgery from Jun 2009 to Sep 2012 were retrospectively analyzed,then the enrolled participants were divided into the pulmonary infection group with34 cases and the non-pulmonary infection group with 156 cases;the risk factors for the pulmonary infections were analyzed,the effective prevention countermeasures were formulated,and the data were analyzed with the use of SPSS18.0 software.RESULTS The pulmonary infections occurred in 34 of 190patients with the infection rate of 17.89%.The pulmonary infections were mainly associated with the age,obesity,smoking history,previous lung disease,history of cerebrovascular disease,intraoperative use of antibiotics,vascular occlusion,postoperative use of analgesia pump,and postoperative use of ventilator（P0.01）.The operation duration of the pulmonary infection group was longer than that of the non-pulmonary infection group,and the intraoperative blood loss volume of the pulmonary infection group was more than that of the non-pulmonary infection group,the differences between the two groups were significant（P0.05）.CONCLUSION It is an effective way to conduct health propaganda and education before surgery,strictly implement the aseptic operation procedures during the surgery,and strengthen the oral and respiratory tract care so as to reduce the incidence of pulmonary infections in the cervical cancer patients,which is worthy to be promoted in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第16期4097-4099,共3页
Chinese Journal of Nosocomiology
基金
海南自然科学基金资助项目(2011J01206)
关键词
宫颈癌
肺部感染
预防
Cervical cancer
Pulmonary infection
Prevention
