伴盆腔炎性疾病妇科围手术期抗菌药物使用与术后感染相关性研究.doc
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伴盆腔炎性疾病妇科围手术期抗菌药物使用与术后感染相关性研究,摘要：目的 调查所在医院住院患者中伴盆腔炎性疾病妇科手术患者围手术期抗菌药物的使用现状，分析抗菌药物使用合理与否与术后感染的相关性以及分析术后感染的影响因素。方法 通过调查厦门市中医院2012年伴盆腔炎性疾病的妇科手术患者抗菌药物使用情况及术后感染情况，采用sp...
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伴盆腔炎性疾病妇科围手术期抗菌药物使用与术后感染相关性研究
摘要：目的 调查所在医院住院患者中伴盆腔炎性疾病妇科手术患者围手术期抗菌药物的使用现状，分析抗菌药物使用合理与否与术后感染的相关性以及分析术后感染的影响因素。方法 通过调查厦门市中医院2012年伴盆腔炎性疾病的妇科手术患者抗菌药物使用情况及术后感染情况，采用SPSS19.0软件分析术后感染与抗菌药物使用合理与否的相关性及其它影响因素。结果 1、抗菌药物使用合理组（A组）56例，术后感染率5.36%，不合理组（B组）160例，术后感染率5.63%，两组差异无统计学意义，但是前者术后感染率低于后者。2、术后感染率与年龄、术前是否存在感染灶、是否用药、用药时机、累计给药时间、用药品种数、年龄等自身因素和医疗因素与术后感染率存在相关性（r>0.3）。结论 伴盆腔炎性疾病的妇科手术患者，围手术期抗菌药物是否合理使用、术前预防感染时机、术后疗程是否合理等医疗因素以及患者自身因素是患者术后感染与否的重要危险因素。所以，为降低患者术后感染率，提高患者生活质量，除患者应该提高对自身因素的认识外，医院更应重视合理使用抗菌药物，加强院感管理。
关键词：盆腔炎性疾病；围手术期；妇科；抗菌药物使用；术后感染；相关性
Abstract: Objective To investigated hospital patients with pelvic inflammatory disease in female patients with gynecological operation during operation period of usage of antibiotic drugs in hospital, analyzed antimicrobial drug use was reasonable or not correlated with postoperative infection, then analyzed the influence factors of postoperative infection. Methods Through the investigation of Xiamen city Chinese medicine hospital in 2012 with pelvic inflammatory disease of the use of antibacterial agents in patients with gynecologic surgery and postoperative infection, the SPSS19.0 software was used to analysis the correlation between postoperative infection and antimicrobial drug use was reasonable analyzed other factors. Results The use of antibacterial drugs reasonably group (A group) had 56 cases, postoperative infection rate of it was 5.36%;the unreasonable group (B group) had 160 cases, postoperative infection rate of it was 5.63%, the two groups had no significant difference, but the postoperative infection rate was lower than the latter. There had Correlation between whether use the drug, when give the medication, course of the postoperative, number of drugs, ages or other factors and postoperative infection. Conclusion Gynecological operation in patients with pelvic inflammatory disease, whether the operation period of the rational use of antibiotics, preoperative infection time, postoperative treatment is reasonable medical factors as well as the patient's own factors are important risk factors in patients with postoperative or not. So, in order to reduce postoperative infection rate, improve the quality of life of patients, in addition to the patients should raise the awareness of their own factors, the hospital should pay more attention to the rational use of antimicrobial drugs, to strengthen hospital infection management.
Keywords: Pelvic inflammatory disease; perioperative period; Department of gynecology; Antimicrobial drug use; postoperative infection; correlation
摘要：目的 调查所在医院住院患者中伴盆腔炎性疾病妇科手术患者围手术期抗菌药物的使用现状，分析抗菌药物使用合理与否与术后感染的相关性以及分析术后感染的影响因素。方法 通过调查厦门市中医院2012年伴盆腔炎性疾病的妇科手术患者抗菌药物使用情况及术后感染情况，采用SPSS19.0软件分析术后感染与抗菌药物使用合理与否的相关性及其它影响因素。结果 1、抗菌药物使用合理组（A组）56例，术后感染率5.36%，不合理组（B组）160例，术后感染率5.63%，两组差异无统计学意义，但是前者术后感染率低于后者。2、术后感染率与年龄、术前是否存在感染灶、是否用药、用药时机、累计给药时间、用药品种数、年龄等自身因素和医疗因素与术后感染率存在相关性（r>0.3）。结论 伴盆腔炎性疾病的妇科手术患者，围手术期抗菌药物是否合理使用、术前预防感染时机、术后疗程是否合理等医疗因素以及患者自身因素是患者术后感染与否的重要危险因素。所以，为降低患者术后感染率，提高患者生活质量，除患者应该提高对自身因素的认识外，医院更应重视合理使用抗菌药物，加强院感管理。
关键词：盆腔炎性疾病；围手术期；妇科；抗菌药物使用；术后感染；相关性
Abstract: Objective To investigated hospital patients with pelvic inflammatory disease in female patients with gynecological operation during operation period of usage of antibiotic drugs in hospital, analyzed antimicrobial drug use was reasonable or not correlated with postoperative infection, then analyzed the influence factors of postoperative infection. Methods Through the investigation of Xiamen city Chinese medicine hospital in 2012 with pelvic inflammatory disease of the use of antibacterial agents in patients with gynecologic surgery and postoperative infection, the SPSS19.0 software was used to analysis the correlation between postoperative infection and antimicrobial drug use was reasonable analyzed other factors. Results The use of antibacterial drugs reasonably group (A group) had 56 cases, postoperative infection rate of it was 5.36%;the unreasonable group (B group) had 160 cases, postoperative infection rate of it was 5.63%, the two groups had no significant difference, but the postoperative infection rate was lower than the latter. There had Correlation between whether use the drug, when give the medication, course of the postoperative, number of drugs, ages or other factors and postoperative infection. Conclusion Gynecological operation in patients with pelvic inflammatory disease, whether the operation period of the rational use of antibiotics, preoperative infection time, postoperative treatment is reasonable medical factors as well as the patient's own factors are important risk factors in patients with postoperative or not. So, in order to reduce postoperative infection rate, improve the quality of life of patients, in addition to the patients should raise the awareness of their own factors, the hospital should pay more attention to the rational use of antimicrobial drugs, to strengthen hospital infection management.
Keywords: Pelvic inflammatory disease; perioperative period; Department of gynecology; Antimicrobial drug use; postoperative infection; correlation
