CAJ | 학술논문

目的讨论小肠梗阻术后感染性并发症的危险因素,以减少术后感染.方法回顾分析2006年1月-2012年12月于首都医科大学宣武医院接受手术治疗的154例小肠梗阻患者的临床资料.Logistic回归分析术后感染性并发症的独立危险因素.结果 154例小肠梗阻患者接受手术治疗,术后感染率27.9％.回归分析发现,患者年龄(≥65岁)(OR 6.71,95％ CI3.15 ～ 16.33)、术中肠管破裂(OR2.71,95％CI1.19～7.25)、延迟(≥72 h)手术(OR 11.33,95％ CI 4.62 ～ 20.20)及手术时间(≥180 min)(OR 2.90,95％CI 1.26 ～9.83)是影响感染性并发症发生的危险因素.结论术后感染是小肠梗阻术后的常见并发症.早期手术、术中轻柔操作防止肠管破裂可能是减少术后感染的有效措施.
목적 토론소장경조술후감염성병발증적위험인소,이감소술후감염.방법 회고분석2006년1월-2012년12월우수도의과대학선무의원접수수술치료적154례소장경조환자적림상자료.Logistic회귀분석술후감염성병발증적독립위험인소.결과 154례소장경조환자접수수술치료,술후감염솔27.9％.회귀분석발현,환자년령(≥65세)(OR 6.71,95％ CI3.15 ～ 16.33)、술중장관파렬(OR2.71,95％CI1.19～7.25)、연지(≥72 h)수술(OR 11.33,95％ CI 4.62 ～ 20.20)급수술시간(≥180 min)(OR 2.90,95％CI 1.26 ～9.83)시영향감염성병발증발생적위험인소.결론 술후감염시소장경조술후적상견병발증.조기수술、술중경유조작방지장관파렬가능시감소술후감염적유효조시.
Objective To determine risk factors for postoperative infectious complications for small bowel obstruction.Methods Retrospective analysis the clinical data from small bowel obstruction patients who admittedto our hospital between January 2006 and December 2012 who receiving surgical treatment.The independent risk factors for infective complications were detected by logistic analysis.Results One hundred and fifty-four patients received surgery for small bowel obstruction with infection rate 27.9％.Logistic analysis revealed that older people(≥65 years) (OR 6.71,95％ CI 3.15-16.33),intraoperative bowel rupture (OR 2.71,95％ CI 1.19-7.25),delay surgery(≥72 h)(OR 11.33,95％CI4.62-20.20) and operation time(≥180 min) (OR 2.90,95％ CI 1.26-9.83) were the independent risk factors for postoperative infective complications.Conclusions Postoperative infections were the common complications after surgery for small bowel obstruction.Early surgery,intraoperative soft operation to prevent bowel rupture may be effective measures to reduce postoperative infection.