医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2015年
4期
47-49
,共3页
妇科管理%院内感染%切口感染%泌尿道感染
婦科管理%院內感染%切口感染%泌尿道感染
부과관리%원내감염%절구감염%비뇨도감염
Gynecology management%Nosocomial infection%Wound infection%Urinary tract infection
目的探讨加强妇科管理对控制妇科术后院内感染的效果。方法选取2013年1月～2014年1月医院妇科收治的患者120例，将120例妇科患者随机分成对照组和研究组，每组60例患者，对照组患者予以常规管理，研究组患者予以针对性综合管理，比较两组患者的感染率以及临床效果。结果对照组60例患者出现手术感染30例，其中切口感染16例，呼吸道感染10例，泌尿系统感染2例，胃肠感染2例，感染率为50.0%；观察组60例患者出现手术感染3例，其中切口感染1例，泌尿系统感染1例，胃肠感染1例，感染率为5.0%；差异显著有统计学意义(P<0.01).结论对妇科患者经过综合管理之后，患者的切口感染、呼吸道感染以及泌尿道感染等感染率显著减少。在以后妇科临床工作中应进一步强化培训医护人员，使医护人员的操作规范化、科学化，从而提高临床疗效并预防妇科的术后院内感染发生。
目的探討加彊婦科管理對控製婦科術後院內感染的效果。方法選取2013年1月～2014年1月醫院婦科收治的患者120例，將120例婦科患者隨機分成對照組和研究組，每組60例患者，對照組患者予以常規管理，研究組患者予以針對性綜閤管理，比較兩組患者的感染率以及臨床效果。結果對照組60例患者齣現手術感染30例，其中切口感染16例，呼吸道感染10例，泌尿繫統感染2例，胃腸感染2例，感染率為50.0%；觀察組60例患者齣現手術感染3例，其中切口感染1例，泌尿繫統感染1例，胃腸感染1例，感染率為5.0%；差異顯著有統計學意義(P<0.01).結論對婦科患者經過綜閤管理之後，患者的切口感染、呼吸道感染以及泌尿道感染等感染率顯著減少。在以後婦科臨床工作中應進一步彊化培訓醫護人員，使醫護人員的操作規範化、科學化，從而提高臨床療效併預防婦科的術後院內感染髮生。
목적탐토가강부과관리대공제부과술후원내감염적효과。방법선취2013년1월～2014년1월의원부과수치적환자120례，장120례부과환자수궤분성대조조화연구조，매조60례환자，대조조환자여이상규관리，연구조환자여이침대성종합관리，비교량조환자적감염솔이급림상효과。결과대조조60례환자출현수술감염30례，기중절구감염16례，호흡도감염10례，비뇨계통감염2례，위장감염2례，감염솔위50.0%；관찰조60례환자출현수술감염3례，기중절구감염1례，비뇨계통감염1례，위장감염1례，감염솔위5.0%；차이현저유통계학의의(P<0.01).결론대부과환자경과종합관리지후，환자적절구감염、호흡도감염이급비뇨도감염등감염솔현저감소。재이후부과림상공작중응진일보강화배훈의호인원，사의호인원적조작규범화、과학화，종이제고림상료효병예방부과적술후원내감염발생。
Objective To investigate the effect of gynecology management strengthening on reducing postoperative nosocomial infection.Methods In total of 120 gynecological patients in our hospital from January 2013 to January 2014 were included and divided into two groups, control group and intervention group, with 60 patients in each group. Patients in control group received usual treatment, while patients in intervention group received not only usual treatment but also integrated management with pertinence. The incidence rates of infection and clinical effect of patients in the two groups were compared.Results Among 60 patients in control group, 30 patients suffered surgical infection with infection rate of 50.0%, including 16 wound infection cases, 10 respiratory tract infection cases, 2 urinary tract infection cases and 2 gastrointestinal infection cases; In intervention group, 3 surgical infection cases occurred among 60 patients, including one wound infection case, 0 respiratory tract infection case, one urinary tract infection case and one gastrointestinal infections case, and the infection rate was 5.0%; the difference was statistically significant (P<0.01). Conclusion After comprehensive care management, the wound infection, upper respiratory tract infection, urinary tract infection and other infections of gynecological patients were significantly reduced. In the future gynecological clinical work, the training of medical personnel should be further strengthened to ensure the standard and scientific operation, so as to improve the clinical efficacy and prevent postoperative nosocomial infection of gynecological patients.
