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目的探讨河南省肿瘤医院肝癌手术患者发生医院感染的特点,寻求有效的护理措施,降低和控制医院感染发生率。方法分析2010年1月至2010年12月期间河南省肿瘤医院532例肝癌手术患者中54例术后发生医院感染的临床资料,总结感染特点及护理对策。结果 532例肝癌手术患者医院感染发生54例,感染率为10.15%;感染例次59例,例次感染率为11.09%;感染部位以腹腔感染居多39例次(66.10%),其次为血液感染为13例次(22.03%);感染的病原体中以大肠埃希菌居首位13例(20.97%),其次为金黄色葡萄球菌7例(11.29%);医院感染与肝癌患者自身病理特点、手术及侵入性操作等有关。结论加强肝胆外科患者院内感染的管理,严格无菌技术操作,提高机体免疫力,规范抗生素使用,减少侵入性操作等综合干预是预防和控制医院感染的有效途径。
Objective To investigate the characteristics of nosocomial infections in patients with hepatocellular carcinoma at Henan Cancer Hospital and seek effective nursing measures to reduce and control the incidence of nosocomial infections. Methods From January 2010 to December 2010 in Henan Province Cancer Hospital, 532 cases of liver cancer surgery in 54 patients with nosocomial infection clinical data, summarize the characteristics of infection and nursing countermeasures. Results In the 532 cases of liver cancer patients, 54 cases were hospitalized with infection rate of 10.15%, 59 cases were infected with infection rate of 11.09%, 39 cases (66.10%) with infection of abdominal cavity, followed by blood infection 13 cases (22.03%) were infected with Escherichia coli, 13 cases (20.97%) were Escherichia coli, followed by 7 cases (11.29%) with Staphylococcus aureus. The pathological features of nosocomial infection and hepatocellular carcinoma patients’ Surgery and invasive operations related. Conclusion It is an effective way to prevent and control nosocomial infections by strengthening the management of nosocomial infections in patients with hepatobiliary surgery, strict aseptic techniques, improving immunity, regulating the use of antibiotics and reducing invasive procedures.