胃癌患者胃大部切除术后感染危险因素分析
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吴照东

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R619+.3

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Risk factors for infection after subtotal gastrectomy in patients with gastric cancer
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    摘要:

    目的 探讨胃癌患者胃大部切除术后感染的危险因素,为预防其感染提供参考。方法 回顾性分析于2010年7月—2014年6月入住某院行胃大部切除术的胃癌患者的临床病历资料,探讨患者术后感染的相关因素。结果 共纳入210例胃癌行胃大部切除术患者,术后发生医院感染36例,发病率为17.14%,主要为腹腔感染(10例)和手术切口感染(9例)。单因素分析结果表明,年龄>55岁、营养不良、开腹手术、癌症TNM分期为Ⅲ~Ⅳ期、术后卧床时间>4 d的胃癌患者术后感染的发病率较高(均P<0.05)。logistic回归分析结果显示,患者年龄>55岁、营养不良和开腹手术是胃大部切除术患者术后感染的独立危险因素(均P<0.05)。结论 胃癌患者年龄大、营养状况差和开腹手术是胃大部切除术后感染的危险因素,手术前后应根据这些因素制定有效防控措施。

    Abstract:

    Objective To explore risk factors for infection after subtotal gastrectomy in patients with gastric cancer, and provide reference for prevention of infection. Methods Clinical data of gastric cancer patients who were admitted to a hospital from July 2010 to June 2014 for subtotal gastrectomy were analyzed retrospectively, related factors for post-operative infection were explored. Results A total of 210 gastric cancer patients who underwent subtotal gastrectomy were enrolled, 36 patients had healthcare-associated infection (HAI) after operation, incidence of HAI was 17.14%, the main HAI were abdominal infection (n=10) and surgical site infection (n=9). Univariate analysis showed that incidence of post-operative infection was higher in gastric cancer patients who were older than 55 years, malnutrition, laparotomy, tumor-nodes-metastasis (TNM) stage Ⅲ-Ⅳ, and bedridden time >4 days after operation (all P<0.05). Logistic regression analysis showed that patients' age >55, malnutrition, and laparotomy were independent risk factors for infection after subtotal gastrectomy (all P<0.05). Conclusion Old age, poor nutritional status, and laparotomy are risk factors for infection after subtotal gastrectomy in patients with gastric cancer, effective prevention and control measures should be formulated according to these factors before and after operation.

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吴照东.胃癌患者胃大部切除术后感染危险因素分析[J]. 中国感染控制杂志,2019,18(2):172-174. DOI:10.12138/j. issn.1671-9638.20191271.
WU Zhao-dong. Risk factors for infection after subtotal gastrectomy in patients with gastric cancer[J]. Chin J Infect Control, 2019,18(2):172-174. DOI:10.12138/j. issn.1671-9638.20191271.

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  • 收稿日期:2018-05-08
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  • 在线发布日期: 2019-02-28
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