摘要
目的:分析子宫肌瘤手术患者术后感染发生情况及其影响因素。方法:选取2020年4月—2022年4月于福州市晋安区医院行手术的120例子宫肌瘤患者,统计其术后感染发生情况;收集患者的年龄、性别等一般资料,以多因素logistic回归模型分析其术后感染发生的影响因素。结果:120例子宫肌瘤手术患者中术后共有21例发生感染,发生率为17.50%(21/120)。单因素分析显示:未发生与发生术后感染的子宫肌瘤患者的年龄、体重指数(BMI)、子宫肌瘤直径、手术时间、子宫肌瘤个数、手术过程中输血、手术途径比较,差异均无统计学意义(P>0.05)。发生术后感染子宫肌瘤患者有贫血、住院天数≥7 d、有抗菌药物使用、术前阴道检查次数≥2次、术中出血量≥200 mL、术前未行阴道准备、术中使用举宫器的占比均高于未发生术后感染患者,差异均有统计学意义(P<0.05)。多因素logistic回归分析显示:有贫血、住院天数≥7 d、抗菌药物使用、术前阴道检查次数≥2次、术中出血量≥200 mL、术前未行阴道准备、术中使用举宫器为子宫肌瘤手术患者术后感染发生的独立影响因素(P<0.05)。结论:子宫肌瘤手术患者术后感染发生率较高,其影响因素众多,如贫血、住院天数≥7 d、抗菌药物使用、术前阴道检查次数≥2次等。临床需对上述影响因素予以高度重视,积极采取规范合理的预防措施,以尽可能减少术后感染发生,保障患者的身心健康。
Objective:To analyze the incidence of postoperative infection in patients with uterine fibroid surgery and its influencing factors.Method:A total of 120 patients with uterine fibroids who underwent surgery in Fuzhou Jin’an District Hospital from April 2020 to April 2022 were selected,and the incidence of postoperative infection was counted.General data such as age and gender were collected,and the influencing factors of postoperative infection were analyzed by multivariate logistic regression model.Result:Among 120 patients with uterine fibroid surgery,21 cases had infection after surgery,the incidence rate was 17.50%(21/120).Univariate analysis showed that there were no significant differences in age,body mass index(BMI),diameter of uterine fibroids,operation time,number of uterine fibroids,blood transfusion during operation and surgical approach between uterine fibroid patients without and with postoperative infection(P>0.05).The proportions of with anaemia,hospitalization days≥7 days,antimicrobial agent use,preoperative vaginal examination times≥2 times,intraoperative bleeding volume≥200 mL,no preoperative vaginal preparation and uterine manipulator use during surgery in uterine fibroid patients with postoperative infection were higher than those without postoperative infection,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that with anaemia,hospitalization days≥7 days,antimicrobial agent use,preoperative vaginal examination times≥2 times,intraoperative bleeding volume≥200 mL,no preoperative vaginal preparation and uterine manipulator use during surgery were independent influencing factors for postoperative infection in patients with uterine fibroid surgery(P<0.05).Conclusion:The incidence of postoperative infection in patients with uterine fibroid surgery is high,which is influenced by many factors,such as anaemia,hospitalization days≥7 days,antimicrobial agent use,and preoperative vaginal examination times≥2 times.Clinical need to attach great importance to the above influencing factors,and actively take standardized and reasonable preventive measures to reduce the incidence of postoperative infection as much as possible,to ensure the physical and mental health of patients.
作者
许玲玲
黄丽虹
XU Lingling;HUANG Lihong(Fuzhou Jin’an District Hospital,Fuzhou 350011,China;不详)
出处
《中国医学创新》
CAS
2023年第21期61-65,共5页
Medical Innovation of China
关键词
子宫肌瘤
术后感染
抗菌药物
Uterine fibroid
Postoperative infection
Antimicrobial agent
作者简介
通信作者:许玲玲。
