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目的:分析临床上妇科肿瘤术后感染的危险因素,探讨针对性的防范管理措施,有效防范院内感染发生。方法:对2013年1月~2016年5月在浙江省肿瘤医院进行妇科肿瘤手术后发生院内感染的25例患者的临床资料进行回顾性分析,探讨术后感染的危险因素,并探讨针对性的防范感染管理措施,有效保证患者安全。结果:导致患者术后感染的危险因素主要是患者自身因素如自身的肥胖、合并糖尿;医务人员临床各种操作未执行无菌技术如术后切口和肠造口护理、引流管放置和护理不当;医务人员的预防感染意识、手卫生管理意识不强。结论:导致妇产科术后切口感染的污染环节较多,预防难度较大,需要医务人员加大管理力度,增强防范意识,合理控制感染途径,有效降低医院感染发生率。
Objective: To analyze the risk factors of postoperative infection in gynecologic oncology and to find out the specific preventive and managerial measures to prevent nosocomial infections. Methods: The clinical data of 25 patients with nosocomial infection after gynecological tumor surgery in Zhejiang Cancer Hospital from January 2013 to May 2016 were retrospectively analyzed to explore the risk factors of postoperative infection and to explore the targeted Prevention of infection management measures to effectively ensure patient safety. Results: The risk factors of postoperative infection in patients were mainly patients’ own factors such as their own obesity and diabetes mellitus. Medical staff did not perform aseptic techniques such as postoperative incision and enterostomy in various clinical operations, drainage tube placement and care improper ; Medical staff awareness of infection prevention, hand hygiene management awareness is not strong. Conclusion: There are many pollution links leading to incision infection in obstetrics and gynecology, which is difficult to prevent. It requires medical personnel to strengthen management, enhance awareness of prevention and control of infection and effectively reduce the incidence of nosocomial infections.