CAJ | 학술논문

目的：观察分析腹腔镜下直肠癌根治术后医院感染情况及感染因素，总结相关护理对策。方法选取奉节县人民医院直肠癌医院感染患者152例为观察组。选择同期没有并发医院感染的150例腹腔镜直肠癌根治术手术患者作为对照组，比较两组患者临床资料。结果导致腹腔直肠癌根治术后医院感染的高危因素包括：年龄大于60岁占88．2％，具有基础疾病占69．1％，手术时间超过3 h占71．1％。结论高龄、具有基础疾病、住院时间长、手术时间长等是导致腹腔镜直肠癌根治术患者发生医院感染的高危因素，临床治疗中应针对上述高危因素采取针对性治疗护理措施，以期降低医院感染率。
목적：관찰분석복강경하직장암근치술후의원감염정황급감염인소，총결상관호리대책。방법선취봉절현인민의원직장암의원감염환자152례위관찰조。선택동기몰유병발의원감염적150례복강경직장암근치술수술환자작위대조조，비교량조환자림상자료。결과도치복강직장암근치술후의원감염적고위인소포괄：년령대우60세점88．2％，구유기출질병점69．1％，수술시간초과3 h점71．1％。결론고령、구유기출질병、주원시간장、수술시간장등시도치복강경직장암근치술환자발생의원감염적고위인소，림상치료중응침대상술고위인소채취침대성치료호리조시，이기강저의원감염솔。
Objective To analyze the factors causing nosocomial infection after laparoscopic radical resection of rectal caner ,and to summarize relevant nursing strategies .Methods A total of 152 patients with nosocomial infection after laparoscopic radical resection of rectal caner (observation group) and 150 patients without nosocomial infection after laparoscopic radical resection of rectal caner (control group) were enrolled and the related clinical data were ret-rospectively analyzed .Results The main factors causing nosocomial infection after laparoscopic radical resection of rectal caner included age (more than 60 years old ,accounting for 88 .2% ) ,primary disease (accounting for 69 .1% ) and surgery time (more than 3 h ,accounting for 71 .1% ) .Conclusion Advanced age ,primary disease and surgery time could be main factors causing nosocomial infection after laparoscopic radical resection of rectal caner ,and targe-ted treatment and care should be taken to reduce the incidence rate of nosocomial infection .