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妇科恶性肿瘤术后患者发生尿路感染的危险因素分析

Analysis of risk factors of urinary tract infection in patients with gynecological malignant tumor after operation
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摘要 目的分析妇科恶性肿瘤术后患者发生尿路感染的危险因素,以便制订切实可行的干预措施。方法回顾性选取2023年1月至2024年1月淄博市妇幼保健院妇科恶性肿瘤术后患者100例,按照术后是否发生尿路感染分为尿路感染组与未尿路感染组,采用单因素、多因素logistic回归分析妇科恶性肿瘤术后患者发生尿路感染的影响因素。结果100例中,尿路感染10例(10.00%)。尿路感染组及未尿路感染组在年龄、是否合并基础疾病、尿管插管次数、尿管留置时间、住院时间、尿袋更换次数方面比较有差异(P<0.05)。logistic回归分析结果显示,年龄、合并基础疾病、尿管插管次数>2次、尿管留置时间>7 d、住院时间>10 d、尿袋更换次数≤1次/周是妇科恶性肿瘤术后患者发生尿路感染的独立危险因素(P<0.05)。结论妇科恶性肿瘤术后尿路感染的发生与多种因素有关,临床应结合以上风险因素,制订切实可行的干预措施,预防及降低尿路感染发生风险。 Objective To analyze the risk factors of urinary tract infection in patients with gynecological malignant tumor after operation,so as to formulate practical intervention measures.Methods One hundred patients with gynecological malignant tumors after operation in Zibo Maternal and Child Health Hospital from January 2023 to January 2024 were retrospectively selected.According to whether urinary tract infection occurred after operation,they were divided into urinary tract infection group and non-urinary tract infection group.Univariate and multivariate logistic regression were used to analyze the influencing factors of urinary tract infection in patients with gynecological malignant tumors after operation.Results Among the 100 cases,10 cases(10.00%)had urinary tract infection.There were differences between the urinary tract infection group and the non-urinary tract infection group in age,whether combined with basic diseases,the number of catheter intubation,the time of catheter indwelling,the length of hospital stay,and the number of urine bag replacement(P<0.05).The logistic regression analysis showed that age,combined basic diseases,the number of catheter intubation>2 times,the time of catheter indwelling>7 days,length of hospital stay>10 days,and number of urine bag replacement≤1 time/week were independent risk factors for urinary tract infection in patients with gynecological malignant tumors after operation(P<0.05).Conclusion The occurrence of urinary tract infection gynecological malignant tumor after operation is related to a variety of factors.Clinical practice should combine the above risk factors to formulate practical intervention measures,to prevent and reduce the risk of urinary tract infection.
作者 王媛媛 王玖 王琳 张艳 WANG Yuanyuan;WANG Jiu;WANG Lin;ZHANG Yan(Department of Infection Control,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo255000,China;Department of Traditional Chinese Medicine,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255000,China;Department of Gynecology,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255000,China)
出处 《妇儿健康导刊》 2025年第16期42-45,共4页 Journal of Women and Children's Health Guide
关键词 妇科恶性肿瘤 术后 尿路感染 危险因素 尿管插管 尿管留置 Gynecological malignant tumor After operation Urinary tract infection Risk factor Catheter intubation Catheter indwelling
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