肥胖对结直肠癌手术部位感染的影响
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黄新玲

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R181.3+2R735.3

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院级科研项目(SS2011076)(SS2012-051)


Impact of obesity on surgical site infection following colorectal cancer surgery
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    摘要:

    目的探讨肥胖对结直肠癌手术部位感染(SSI)的影响。方法回顾性调查2008年1月—2013年12月某院行结直肠癌根治性手术的215例患者,其中100例体重指数(BMI)≥25 kg/ m2(肥胖组),115例BMI<25 kg/ m2(正常体重组),比较两组患者术中情况、术后恢复、手术并发症等指标。结果肥胖患者72例(72.00%)术中出血量>60 mL,58例(58.00%)手术持续时间>220 min,其中20例(20.00%)发生SSI;正常体重组中仅30例(26.09%)术中出血量>60 mL,20例(17.39%)手术持续时间>220 min,8例(6.96%)发生SSI。肥胖组患者术中出血量、SSI发病率高于正常体重组,手术持续时间、术后住院时间长于正常体重组,各组比较,差异均有统计学意义(均P<0.05)。结论结直肠癌患者SSI发病率较高,肥胖、手术持续时间长、出血量多是结直肠患者SSI的危险因素。

    Abstract:

    ObjectiveTo evaluated the impact of obesity on surgical site infection (SSI)  following colorectal cancer surgery.MethodsA total of 215 patients undergoing radical surgery for colorectal cancer in a hospital between January 2008 and December 2013 were investigated retrospectively, 100 patients were with body mass index (BMI) ≥25 kg/ m2 (obesity group) and 115 patients with BMI<25 kg/ m2 (normal weight group), the intraoperative and postoperative indicators and surgical complications were compared between two groups.ResultsIn obesity group, 72(72.00%) patients had intraoperative blood loss of >60 mL, 58(58.00%) patients’ duration of surgery was >220 min , 20 (20.00%)of whom developed postoperative SSI; in normal weight group, 30(26.09%) patients had intraoperative blood loss of >60 mL, 20(17.39%) patients’ duration of surgery was >220 min, 8(6.96%)of whom developed postoperative SSI. Intraoperative blood loss and  incidence of SSI in obesity group were both significantly higher than normal weight group, duration of surgery and postoperative length of hospital stay were both longer than normal weight group(both P<0.05).ConclusionIncidence of SSI in colorectal cancer patients is high. Obesity, long duration of surgery, and more bleeding are high risk factors for SSI in colorectal cancer patients.

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黄新玲,郑丽英,何文英,等.肥胖对结直肠癌手术部位感染的影响[J]. 中国感染控制杂志,2015,14(12):837-839. DOI:10.3969/j. issn.1671-9638.2015.12.013.
HUANG Xinling, ZHENG Liying, HE Wenying, et al. Impact of obesity on surgical site infection following colorectal cancer surgery[J]. Chin J Infect Control, 2015,14(12):837-839. DOI:10.3969/j. issn.1671-9638.2015.12.013.

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  • 收稿日期:2015-03-26
  • 最后修改日期:2015-05-28
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  • 在线发布日期: 2015-12-30
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