首页|卵巢癌肿瘤细胞减灭术后发生尿路感染的相关因素及预防策略

卵巢癌肿瘤细胞减灭术后发生尿路感染的相关因素及预防策略

扫码查看
目的 分析腹腔镜卵巢癌肿瘤细胞减灭术(O TRO)后发生尿路感染的相关因素.并探讨了相关护理策略.方法 回顾性选取2019年10月-2022年10月在南京医科大学附属淮安第一医院接受腹腔镜OTRO治疗的卵巢癌患者228例作为研究对象.根据患者术后是否发生尿路感染将患者分为感染组和未感染组,收集2组患者临床相关资料,比较2组间差异;利用多因素Logistic回归分析影响患者发生尿路感染的独立危险因素.结果 228例患者术后尿路感染61例,感染率为26.75%,其中以尿路刺激征、发热为主要临床表现.感染组患者年龄大于非感染组,术中出血量多于非感染组,导尿管留置时间、住院时间均长于非感染组(P<0.05);感染组中有糖尿病、肿瘤分期在ⅢC期~ⅣA期、导尿管插管次数>2次、尿道口清洁次数在1~2次/d、尿袋更换次数≤1次/d、术后发生低蛋白血症的患者占比均高于非感染组(P<0.05);有糖尿病、肿瘤分期高、导尿管留置时间长、术后发生低蛋白血症是影响卵巢癌患者OTRO后出现尿路感染的独立危险因素(P<0.05),尿道口清洁次数日频率高是其保护因素(P<0.05).结论 卵巢癌患者腹腔镜OTRO后发生尿路感染与多种因素有关,有糖尿病、肿瘤分期高、导尿管留置时间长、术后发生低蛋白血症是术后尿路发生感染的独立危险因素,尿道口清洁次数日频率高是其保护因素.临床可针对以上结果制定相关护理措施,以预防尿路感染的发生.
Factors associated with and preventive strategies for urinary tract infections after ovarian cancer cytoreductive surgery
Objective To analyze the factors associated with urinary tract infections(UTIs)after laparoscopic ovarian tumor reduction operation(OTRO)and to explore relevant nursing strategies.Methods A retrospective study was conducted on 228 ovarian cancer patients who underwent laparoscopic OTRO at our hospital from October 2019 to October 2022.Patients were allocated to an infection group and a non-infection group based on the presence of postoperative UTIs.Clinical data were collected and compared between the two groups.Multivariate logistic regression analysis was used to identify independ-ent risk factors for UTIs.Results Postoperative UTIs occurred in 61 of 228 patients,with an infection rate of 26.75%,mainly presenting with urinary irritation and fever.The infection group had significantly older patients,more intraoperative blood loss,longer catheterization,and longer hospital stays compared to the non-infection group(P<0.05).Factors such as diabetes,advanced tumor stage(ⅢC-ⅣA),more than two catheter insertions,cleaning the urethral orifice 1-2 times/day,changing urine bags ≤1 time/day,and postoperative hypoproteinemia were significantly more prevalent in the infection group(P<0.05).Independent risk factors for UTIs included diabetes,advanced tumor stage,prolonged catheterization,and postoperative hypoproteinemia(P<0.05),while higher frequency of urethral orifice cleaning was a protective factor(P<0.05).Conclusion The occurrence of UTIs after laparoscopic OTRO in ovarian cancer patients is associated with mul-tiple factors.Diabetes,advanced tumor stage,prolonged catheterization,and postoperative hypoproteinemia are independent risk factors,while frequent urethral cleaning is a protective factor.Targeted nursing measures based on these findings can help prevent UTIs.

LaparoscopeOvarian cancerOvarian tumor reduction operationUrinary tract infectionPreventive strategies

高如、张泽惠、杨阳、王静、徐燕

展开 >

南京医科大学附属淮安第一医院妇科,江苏 淮安 223300

腹腔镜 卵巢癌 卵巢癌肿瘤细胞减灭术 尿路感染 预防策略

江苏省卫生健康委科研项目

M2020100

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(3)
  • 28