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目的:研究妇科手术后尿路感染的相关影响因素并制定相应的预防措施。方法:随机选择420例已行妇科手术的女性患者,有尿路感染的120例作为感染组,其余患者随机均分为预防组及对照组,采用Logistic回归分析法对感染组与对照组妇科手术后尿路感染的相关因素进行统计分析,观察各因素与感染的相关性。预防组采用相关措施,包括严格无菌操作、留置导尿管时封闭引流、缩短尿管留置时间、拔管时机选择及使用抗生素等,并与对照组进行对比,了解两组感染率及预后情况。结果:妇科手术后尿路感染的影响因素包括年龄、导尿管封闭引流、抗生素使用情况、留置导尿管时间及严格无菌操作等,引起尿路感染的独立危险因素包括尿管留置时间、抗生素使用及年龄。预防组尿路感染发生率明显减少,与对照组相比差异有统计学意义(P<0.05)。结论:导致妇科手术后尿路感染的相关因素较多,妇科手术后根据其影响因素制定措施对减少术后尿路感染发生率有一定效果,可减少患者痛苦、促进健康、缩短住院时间。
Objective: To study the related factors of urinary tract infection after gynecological surgery and to develop corresponding preventive measures. Methods: A total of 420 female patients undergoing gynecological surgery were randomly selected. One hundred and twenty patients with urinary tract infection were selected as the infection group. The remaining patients were randomly divided into prevention group and control group. Logistic regression analysis was used to analyze the gynecologic operation The related factors of post-urinary tract infection were statistically analyzed, and the correlation between various factors and infection was observed. Prevention group adopted the relevant measures, including strict aseptic operation, indwelling catheter closed drainage, shorten catheter indwelling time, extubation timing and use of antibiotics, and compared with the control group to understand the infection rate and prognosis of the two groups . Results: The influencing factors of urinary tract infection after gynecological surgery included age, catheter occlusion and drainage, antibiotic use, indwelling catheter time and strict aseptic technique. The independent risk factors of urinary tract infection included catheter indwelling time, Antibiotic use and age. The incidence of urinary tract infection in the prevention group was significantly reduced compared with the control group (P <0.05). CONCLUSION: There are many related factors that lead to urinary tract infection after gynecological surgery. After gynecological surgery, the measures to reduce the incidence of postoperative urinary tract infection according to its influential factors can reduce the suffering, promote the health and shorten the length of hospital stay.