CAJ | 학술논문

目的：探讨胃大部切除术后感染的相关因素。方法回顾性分析196例胃大部切除术患者临床资料，观察感染与未感染患者年龄、性别、有无其他内科疾病、术前有无应用抗生素、手术时机、手术时间、手术方式、术前ASA分级及术中有无输血等相关情况。结果本组术后感染发生率13.26%。年龄≥60岁、有合并其他内科疾病、手术时间≥100min、术前ASA分级Ⅲ-Ⅳ级、术中输血是胃大部切除术后感染的危险因素(P <0.05)。结论胃大部切除术后感染与患者年龄、合并症、ASA分级、手术时间及术中输血相关，而与性别、术前是否应用抗生、手术时机、手术方式等无显著相关性。
목적：탐토위대부절제술후감염적상관인소。방법회고성분석196례위대부절제술환자림상자료，관찰감염여미감염환자년령、성별、유무기타내과질병、술전유무응용항생소、수술시궤、수술시간、수술방식、술전ASA분급급술중유무수혈등상관정황。결과본조술후감염발생솔13.26%。년령≥60세、유합병기타내과질병、수술시간≥100min、술전ASA분급Ⅲ-Ⅳ급、술중수혈시위대부절제술후감염적위험인소(P <0.05)。결론위대부절제술후감염여환자년령、합병증、ASA분급、수술시간급술중수혈상관，이여성별、술전시부응용항생、수술시궤、수술방식등무현저상관성。
Objective Discuss risk factors in postoperative infection for gastrectomy. Methods Clinical information of 196 gastrectomy patients was reviewed and analyzed. Infected and uninfected patients were observed in terms of age, gender, history of medical illness and the use of antibiotics before the surgery, timing, duration and method of the surgery, and whether there was transfusion of blood in the ASA classification before and during the surgery. Results The incidence of postoperative infection for the group was 13.26%. The risk factors in the postoperative infection included the ages over 60, complication of other illnesses, surgery duration of 100min or more, Ⅲ-Ⅳ ASA classification before the surgery, and blood transfusion during the surgery. Conclusions The postoperative infection for the gastrectomy was related to the age of patients, complications, ASA classification, surgery duration and blood transfusion during the surgery. But it was not significantly correlated to the gender of patients, the use of antibiotics before the surgery, timing and method of the surgery.