摘要
目的探究影响老年胃癌患者术后发生医院感染相关因素,为控制老年胃癌患者发生医院感染提供依据。方法回顾性分析2008年3月-2010年5月67例发生术后医院感染的老年胃癌患者临床资料,并选取同期100例未发生术后感染的老年胃癌患者临床资料进行对比,对其胃癌组织类型、吸烟史、手术情况及抗菌药物应用等资料进行统计分析。结果单因素分析发现,吸烟史、手术情况及抗菌药物应用是影响老年胃癌术后医院感染的危险因素(P<0.05),年龄、性别及胃癌类型对老年胃癌术后医院感染无明显影响;经多因素回归分析发现,吸烟史、手术情况及抗菌药物应用均为影响老年胃癌术后医院感染的独立危险因素(P<0.05)。结论吸烟史、手术及抗菌药物应用均为影响老年胃癌术后医院感染的独立因素,有吸烟史、麻醉时间过长、复苏时间过短、长期留置胃管及长期留置导尿管、术后使用抗菌药物时间过长的患者,其胃癌术后感染率较高。
OBJECTIVE To explore the related risk factors for postoperative nosocomial infections in the senile patients with gastric carcinoma so as to provide basis for the control of nosocomial infections in the senile patients with gastric carcinoma. METHODS A total of 67 cases of senile patients with gastric carcinoma complicated with postoperative infections, who were treated in the hospital from Mar 2008 to May 2010, were retrospectively analyzed, and 100 cases of senile gastric carcinoma patients histological types of gastric carcinoma, smoking history, without postoperative infections were selected, then the operation status, and use of antibiotics were statistically analyzed. RESULTS The univariate analysis showed that the smoking history,operation status, and use of antibiotics were the risk factors for the postoperative infections （P〈0.05）, while the age, gender and type of gastric cancer did not have significant effect on the incidence of postoperative infections; the multivariate regression analysis concluded that the smoking history, operation status, and use of antibiotics were all the independent risk factors for the postoperative infections in the senile patients with gastric carcinoma （P〈0.05）. CONCLUSION The smoking history, operation, and use of antibiotics are the independent risk factors of postoperative nosocomial infections in elderly patients with gastric carcinoma; the incidence of postoperative infections is higher in the patients with smoking history, long anesthesia time, short recovery time, long-term gastric catheter indwelling, long-term catheter indwelling, or long-term use of antibiotics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第18期4421-4423,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生科学研究基金资助项目(2007A188)
关键词
老年
胃癌
手术
住院
感染
The elderly
Gastric cancer
Operation
Hospitalization
Infection
