临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
10期
852-855
,共4页
肝胆外科%手术切口感染%影响因素
肝膽外科%手術切口感染%影響因素
간담외과%수술절구감염%영향인소
Hepatobiliary Surgery%Surgical site infection%Influencing factors
目的分析肝胆疾病手术患者手术切口部位感染情况及影响因素。方法对351例手术患者年龄、并发糖尿病情况、体重指数、手术持续时间、切口的长度、手术类型、术中出血量、放置引流管等临床资料进行分析，探讨肝胆疾病手术患者手术切口部位感染情况及影响因素。结果①肝胆疾病手术切口感染者共21例，感染率为5.98%。②单因素分析结果显示，术后切口感染的发生率在年龄、合并糖尿病、VMI、手术时间、手术类型、术中出血量、放置引流等临床因素间比较，差异均有统计学意义（ P <0.05）；术后切口感染发生率在切口长度（<10 cm、≥10 cm）间比较，差异无统计学意义（ P >0.05）。③多因素 Logistic 分析结果显示，年龄、合并糖尿病、VMI、手术时间、手术类型、术中出血量、放置引流与肝胆疾病术后切口感染发生率相关（ P <0.05），且年龄≥60岁、合并糖尿病、VMI≥30 kg/ m2、手术时间≥3 h、手术类型、术中出血量为危险因素，放置引流为保护性因素。结论肝胆外科手术患者手术切口感染发生率受到诸多因素的影响，临床实际工作中应充分重视肝胆外科患者手术切口感染相关影响因素，积极采取措施降低其发生率。
目的分析肝膽疾病手術患者手術切口部位感染情況及影響因素。方法對351例手術患者年齡、併髮糖尿病情況、體重指數、手術持續時間、切口的長度、手術類型、術中齣血量、放置引流管等臨床資料進行分析，探討肝膽疾病手術患者手術切口部位感染情況及影響因素。結果①肝膽疾病手術切口感染者共21例，感染率為5.98%。②單因素分析結果顯示，術後切口感染的髮生率在年齡、閤併糖尿病、VMI、手術時間、手術類型、術中齣血量、放置引流等臨床因素間比較，差異均有統計學意義（ P <0.05）；術後切口感染髮生率在切口長度（<10 cm、≥10 cm）間比較，差異無統計學意義（ P >0.05）。③多因素 Logistic 分析結果顯示，年齡、閤併糖尿病、VMI、手術時間、手術類型、術中齣血量、放置引流與肝膽疾病術後切口感染髮生率相關（ P <0.05），且年齡≥60歲、閤併糖尿病、VMI≥30 kg/ m2、手術時間≥3 h、手術類型、術中齣血量為危險因素，放置引流為保護性因素。結論肝膽外科手術患者手術切口感染髮生率受到諸多因素的影響，臨床實際工作中應充分重視肝膽外科患者手術切口感染相關影響因素，積極採取措施降低其髮生率。
목적분석간담질병수술환자수술절구부위감염정황급영향인소。방법대351례수술환자년령、병발당뇨병정황、체중지수、수술지속시간、절구적장도、수술류형、술중출혈량、방치인류관등림상자료진행분석，탐토간담질병수술환자수술절구부위감염정황급영향인소。결과①간담질병수술절구감염자공21례，감염솔위5.98%。②단인소분석결과현시，술후절구감염적발생솔재년령、합병당뇨병、VMI、수술시간、수술류형、술중출혈량、방치인류등림상인소간비교，차이균유통계학의의（ P <0.05）；술후절구감염발생솔재절구장도（<10 cm、≥10 cm）간비교，차이무통계학의의（ P >0.05）。③다인소 Logistic 분석결과현시，년령、합병당뇨병、VMI、수술시간、수술류형、술중출혈량、방치인류여간담질병술후절구감염발생솔상관（ P <0.05），차년령≥60세、합병당뇨병、VMI≥30 kg/ m2、수술시간≥3 h、수술류형、술중출혈량위위험인소，방치인류위보호성인소。결론간담외과수술환자수술절구감염발생솔수도제다인소적영향，림상실제공작중응충분중시간담외과환자수술절구감염상관영향인소，적겁채취조시강저기발생솔。
Objective To analyze the incision infection related factors of patients with hepatobiliary surgery. Methods 351 cases of hepa-tobiliary surgery were selected into this study. The clinical data of average age,VMI,diabetes mellitus,operation duration,the length of the inci-sion,operation type,intraoperative blood loss,drainage tube were analyzed. The incision infection related factors of patients with hepatobiliary sur-gery were investigated. Results ①21 cases of incision infection of patients with hepatobiliary surgery were found,the infection rate was 5. 98% . ②According to the single factor analysis,the differences of postoperative incision infection occurrence rate in clinical factors such as average age,VMI, diabetes mellitus,operation duration,operation type,intraoperative blood loss,drainage tube were statistically significant( P <0. 05). The differ-ence of postoperative incision infection occurrence rate in the length of the incision( < 10 cm,≥10 cm)was not statistically significant( P > 0. 05). ③According to the Logistic multifactor analysis,the age,VMI,diabetes mellitus,operation duration,operation type,intraoperative blood loss, drainage tube were the influence factors of postoperative incision infection occurrence rate;the age ≥60 years old,VMI≥30 kg/ m2 ,diabetes melli-tus,operation duration ≥3 h,operation type,intraoperative blood loss were the risk factors. The drainage tube was the protective factor. Conclusion A number of factors can impact the postoperative incision infection occurrence rate. It is essential to pay attention to the related influencing factors of hepatobiliary surgery in the clinical practice and take relevant measures to reduce the incidence of complications.
