消化道肿瘤患者手术后感染的相关因素分析

Related factors of postoperative infection in patients with gastrointestinal tumors

  • 摘要: 目的 分析消化道肿瘤患者术后感染的相关因素,探讨对应的处理措施,为临床预防术后感染提供参考依据。方法 按照入排标准选择2012年3月-2015年3月1 049例消化道肿瘤无远处转移的患者,选定相关因素变量,进行回顾性分析,并进行单因素和多因素分析。结果 发生术后感染76例,感染率为7.24%;多因素logistic分析显示,手术时间≥3 h、术前白蛋白水平<30 g/L、ASA分级<Ⅱ级、术前化疗是患者发生消化道肿瘤术后感染的独立危险因素(P<0.05)。结论 增加患者术前的机体和心理准备,改善手术室人员管理,增加科室间配合,通过减少手术时间降低术后感染的发生。

     

    Abstract: OBJECTIVE To investigate the related factors of postoperative infection in patients with gastrointestinal tumors and discuss the corresponding solutions, so as to provide references for the clinical prevention of postoperative infection. METHODS According to the standard of admission, 1049 patients with gastrointestinal tumors without distant metastases who underweny surgical operations from Mar. 2012 to Mar.2015 were selected. The variables of relevant factors were selected and retrospectively analyzed, and univariate and multivariate analysis were performed. RESULTS There were 76 cases occurred postoperative infection, with the infection rate of 7.24%. Multivariate logistic analysis showed that the operation time ≥3 h, the preoperative albumin level <30 g/L, the ASA grade <Ⅱ, and the preoperative chemotherapy were the independent risk factors of postoperative infection in patients with gastrointestinal tumors (P<0.05). CONCLUSION Increasing the preoperative body and psychological preparation of patients, improving the management of the operating room staff, increasing coordination between departments, and reducing the surgical time can reduce the incidence of postoperative infection.

     

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