摘要
目的探讨胃癌患者行腹腔镜胃大部切除术后发生感染的相关危险因素。方法回顾分析医院自2008年行腹腔镜胃大部切除的胃癌患者,对其发生感染与未感染患者相关因素进行单因素分析,对有统计学差异的因素进行非条件logistic回归分析。结果共140例患者纳入分析,术后感染率为16.7%;经单因素分析显示,年龄、BMI、吸烟史、消化性溃疡、糖尿病史、肺部慢性疾病史、手术时间及术后卧床时间差异有统计学意义(P<0.05);进一步对其进行logistic回归分析显示年龄(OR=9.90,95%CI 1.69～58.03)、BMI(OR=0.55,95%CI 0.35～0.86)、糖尿病(OR=17.16,95%CI1.35～217.41)、术后卧床时间(OR=2.91,95%CI 1.45～5.86)是影响术后感染的独立危险因素。结论对于体型偏瘦、高龄及患糖尿病史的患者在行腹腔镜胃大部切除之前应对基础情况进行控制,且尽量缩短术后卧床时间,以降低术后感染的发生。
OBJECTIVE To investigate the related risk factors of infections for gastric cancer patients undergoing laparoscopic subtotal gastrectomy. METHODS A retrospective analysis of the patients with gastric cancer who underwent the laparoscopic subtotal gastrectomy since 2008 was conducted, the univariate factor analysis was performed for the related factors of the patients with infections and the patients without infections, and the non- conditional logistic regression analysis was performed for the factors that had statistical difference. RESULTS A total of 140 patients were included in the present study, the postoperative infection rate was 16. 7%. The univariate analysis showed that the difference in the age, BMI, smoking history, peptic ulcer, diabetes, chronic lung disease, operation time or postoperative bedridden time was statistically significant（P〈0.05） ; the uncondi-tional logistic regression analysis showed that the age（OR= 9.90,95% CI 1.69-58.03）, BMI（OR= 0.55,95%CI 0. 35-0. 86） , diabetes （0R=17.16,95%CI 1.35-17： 41）, and postoperative bedridden time（OR=2.91,95%CI 1.45-5.86） were the independent risk factors for the postoperative infections. CONCLUSION For the patients with slim body , advanced age, or diabetes, it is necessary to control the risk factors before performing the laparoscopic subtotal gastrectomy and shorten the postoperative bedridden time so as to reduce the incidence of the postopera- tive infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第11期2601-2603,共3页
Chinese Journal of Nosocomiology
关键词
危险因素
术后感染
腹腔镜
胃大部切除
Risk factor
Postoperative infection
Laparoscope
Subtotal gastrectomy
