肝胆手术手术部位感染相关危险因素研究
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周宏

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R181.3+2

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Risk factors for surgical site infections in patients with hepatobiliary operations
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    摘要:

    目的探讨肝胆手术手术部位感染(surgical site infection,SSI)的危险因素,为制定SSI的控制措施提供依据。方法采用目标性监测的方法,研究肝胆手术SSI的发生情况,并对其相关危险因素:术前住院日、有无糖尿病、外周血血浆清蛋白、手术持续时间、手术方式、ASA评分、切口方向、切口长度、术中失血量、术后引流管留置天数及有无术后并发症等24个变量进行单因素和多因素Logistic回归分析。结果肝胆手术SSI发生率为11.74%(35/298),其中住院期间感染24例(68.57%),出院后随访发现感染11例(31.43%)。Logistic回归分析结果显示,术后出现脂肪液化和切口裂开等并发症、手术持续时间及术后引流天数是SSI的独立危险因素。结论肝胆手术SSI的发生是多因素共同作用的结果,必须采取综合性的预防措施才能有效地降低SSI的发生率。

    Abstract:

    ObjectiveTo study the risk factors for surgical site infections (SSI) in patients with hepatobiliary operations, and provide the basis for preventing SSI.MethodsTargeted monitoring method was adopted to study the incidence rate of hepatobiliary SSI, the related factors for hepatobiliary SSI were analyzed with univariate and multivariate Logistic regression analysis model, which include preoperative hospital days, diabetes mellitus, plasmaalbumin, the length of operation process, surgical approach, ASA score, direction of incision, incision length, blood loss during operation process, drainage days, postoperative complication, et al.ResultsThe incidence rate of hepatobiliary SSI was 11.74% (35/298), 24 cases (68.57%) acquired infections during hospitalization period, 11 cases (31.43%) acquired infections after discharge. Logistic regression analysis showed that the independent  risk factors of hepatobiliary SSI included postoperative complications such as fatty liquefaction ,incision fissuration,  length of operation and drainage days. ConclusionMultiple factors contribute to hepatobiliary SSI , comprehensive preventive measures should be taken to control the incidence rate of hepatobiliary SSI.
    [Chin Infect Control,2010,9(5):334-336,333]

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周宏,韩方正,茅一平,等.肝胆手术手术部位感染相关危险因素研究[J]. 中国感染控制杂志,2010,9(5):334-336.
ZHOU Hong, HAN Fangzheng, MAO Yiping, et al. Risk factors for surgical site infections in patients with hepatobiliary operations[J]. Chin J Infect Control, 2010,9(5):334-336.

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  • 收稿日期:2010-03-12
  • 最后修改日期:2010-06-05
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  • 在线发布日期: 2010-09-30
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