浙江临床医学
浙江臨床醫學
절강림상의학
ZHEJIANG CLINICAL MEDICAL JOURNAL
2013年
11期
1624-1626
,共3页
刘永生%翁溢鑫%吴聪%戴贵森
劉永生%翁溢鑫%吳聰%戴貴森
류영생%옹일흠%오총%대귀삼
肝癌%手术部位%感染%病原菌%影响因素
肝癌%手術部位%感染%病原菌%影響因素
간암%수술부위%감염%병원균%영향인소
Cancer of the liver%Surgical site%Infection%Pathogenic bacteria%Influential factors
目的：探究并分析肝癌患者手术部位感染病原菌分布和影响因素，为采取针对性的预防干预措施提供参考依据。方法2008年3月至2013年3月收治的314例肝癌患者，采用自编问卷收集肝癌患者的临床资料，运用SPSS19.0统计软件包对收集的资料进行描述性统计和二分类Logistic回归分析找出肝癌患者手术部位感染病原菌和影响因素。结果肝癌患者手术部位感染发生率为16.88%（53/314），以革兰阴性菌为主（占67.67%）。多因素Logistic回归分析示高龄≥65岁（OR=5.040，P=0.000）、营养不良（OR=18.322，P=0.000）、手术持续时间>5h（OR=12.372，P=0.000）和糖尿病史（OR=16.141，P=0.000）是肝癌患者手术部位感染的危险因素。结论肝癌患者手术部位感染发生率较高，以革兰阴性菌为主，其发生受多方面因素影响。
目的：探究併分析肝癌患者手術部位感染病原菌分佈和影響因素，為採取針對性的預防榦預措施提供參攷依據。方法2008年3月至2013年3月收治的314例肝癌患者，採用自編問捲收集肝癌患者的臨床資料，運用SPSS19.0統計軟件包對收集的資料進行描述性統計和二分類Logistic迴歸分析找齣肝癌患者手術部位感染病原菌和影響因素。結果肝癌患者手術部位感染髮生率為16.88%（53/314），以革蘭陰性菌為主（佔67.67%）。多因素Logistic迴歸分析示高齡≥65歲（OR=5.040，P=0.000）、營養不良（OR=18.322，P=0.000）、手術持續時間>5h（OR=12.372，P=0.000）和糖尿病史（OR=16.141，P=0.000）是肝癌患者手術部位感染的危險因素。結論肝癌患者手術部位感染髮生率較高，以革蘭陰性菌為主，其髮生受多方麵因素影響。
목적：탐구병분석간암환자수술부위감염병원균분포화영향인소，위채취침대성적예방간예조시제공삼고의거。방법2008년3월지2013년3월수치적314례간암환자，채용자편문권수집간암환자적림상자료，운용SPSS19.0통계연건포대수집적자료진행묘술성통계화이분류Logistic회귀분석조출간암환자수술부위감염병원균화영향인소。결과간암환자수술부위감염발생솔위16.88%（53/314），이혁란음성균위주（점67.67%）。다인소Logistic회귀분석시고령≥65세（OR=5.040，P=0.000）、영양불량（OR=18.322，P=0.000）、수술지속시간>5h（OR=12.372，P=0.000）화당뇨병사（OR=16.141，P=0.000）시간암환자수술부위감염적위험인소。결론간암환자수술부위감염발생솔교고，이혁란음성균위주，기발생수다방면인소영향。
Objective To summarize the surgical site infection pathogenic bacteria distribution and influential factors of cancer of the liver in order to provide reference basis for targeted prevention and intervention measures. Methods Three hundred and fourteen cancer patients of the liver who were treated in the general surgery department in our hospital from March 2008 to March 2013 were selected as observation objects,the clinical data of cancer patients were collected by the self-made general data questionnaire,they were analysed by descriptive statistics and binary classification logistic regression analysis to find out the surgical site infection pathogenic bacteria distribution and influential factors of cancer of the liver. Results The surgical site infection rate of cancer of the liver was 16.88%(53/314),the most common infection of pathogenic bacteria was mainly gram-negative bacteria (67.67%). Multiple logistic regression analysis showed that venerable age≥65 (OR=5.040, P=0.000),malnutrition(OR=18.322,P=0.000),surgical duration>5 hours (OR=12.372,P=0.000) and history of diabetes (OR=16.141,P=0.000) had risk factors of cancer of the liver. Conclusion The surgical site infection rate of cancer of the liver is high,the infection of pathogenic bacteria was mainly gram-negative bacteria,it is affected by various factors.
