结直肠手术手术部位感染危险因素的logistic回归分析
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周远忠

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R181.3+2R656

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Logistic regression analysis on risk factors for surgical site infection after colorectal surgery
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    目的探索结直肠手术手术部位感染(SSI)的危险因素,为制定SSI预防措施提供依据。方法回顾性调查2013年6月—2016年6月某院胃肠外科结直肠手术患者,对影响感染的相关危险因素进行非条件logistic回归分析。 结果397例结直肠手术患者中,67例发生SSI,SSI发生率为16.88%。logistic回归分析结果显示,吸烟、低清蛋白、手术医生年资<5年、围手术期抗菌药物使用不规范、NNIS评分高5项因素是结直肠手术SSI的独立危险因素(均P<0.05)。结论结直肠手术SSI存在多种危险因素,应重视并针对其危险因素制定干预措施,以降低SSI发生率。

    Abstract:

    ObjectiveTo explore risk factors for surgical site infection(SSI) in colorectal surgery, and provide evidence for formulating measures for preventing SSI. MethodsPatients who underwent colorectal surgery in the department of gastrointestinal surgery of a hospital from June 2013 to June 2016 were surveyed retrospectively, the related risk factors for SSI were analyzed by unconditional logistic regression analysis. ResultsAmong 397 patients who underwent colorectal surgery, 67 (16.88%) had SSI. Logistic regression analysis showed that smoking, low albumin, seniority of surgeons less than 5 years, irrational use of antimicrobial agents during perioperative period, and high National Nosocomial Infection Surveillance (NNIS) score were independent risk factors for SSI after colorectal surgery (all P<0.05). ConclusionThere are multiple risk factors for SSI after colorectal surgery, it is necessary to pay attention to it and formulate preventive measures, so as to reduce the occurrence of SSI effectively.

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胡潇云,秦桂英,邱隆敏,等.结直肠手术手术部位感染危险因素的logistic回归分析[J]. 中国感染控制杂志,2017,16(12):1147-1151. DOI:10.3969/j. issn.1671-9638.2017.12.009.
HU Xiaoyun, QIN Guiying, QIU Longmin, et al. Logistic regression analysis on risk factors for surgical site infection after colorectal surgery[J]. Chin J Infect Control, 2017,16(12):1147-1151. DOI:10.3969/j. issn.1671-9638.2017.12.009.

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  • 收稿日期:2017-03-10
  • 最后修改日期:2017-05-26
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  • 在线发布日期: 2017-11-30
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