摘要
目的探讨直肠癌患者行腹腔镜直肠癌根治术后发生感染的相关危险因素,以控制和降低术后感染的发生。方法回顾性分析2012年1月-2013年12月行腹腔镜直肠癌根治术后,获得完整随访115例患者的临床资料和随访结果,总结术后感染的相关危险因素,所有数据应用SPSS16.0软件进行统计分析。结果 115例患者中发生感染21例,感染率为18.26%,单因素分析显示,体质量指数(BMI)、肺部慢性疾病史、糖尿病史、围手术期低蛋白血症、手术时间、术后胃肠功能恢复时间等与腹腔镜直肠癌根治术后感染具有相关性(P<0.05);多因素logistic回归分析显示,BMI、肺部慢性疾病史、糖尿病史、围手术期低蛋白血症、手术时间、术后胃肠功能恢复时间是腹腔镜下直肠癌根治术的独立危险因素。结论腹腔镜直肠癌根治术后发生感染与多种危险因素有关,其中BMI、糖尿病、手术时间为主要的危险因素,应针对危险因素采取相应的预防措施,从而控制和降低术后感染的发生。
OBJECTIVE To explore the related risk factors for postoperative infections in patients undergoing lapa-roscopic colorectal cancer resection so as to control the postoperative infections.METHODS The clinical data and the results of follow-up of 115 patients who underwent the laparoscopic colorectal cancer resection from Jan 2012 to Dec 2013 were retrospectively analyzed,the related risk factors for the postoperative infections were investiga-ted,and all the data were statistically analyzed by using SPSS1 6 .0 software.RESULTS The infections occurred in 21 of 115 patients with the infection rate of 18.26%.The univariate analysis indicated that the postoperative infec-tions in the patients undergoing the laparoscopic colorectal cancer resection were associated with the body mass in-dex（BMI）,history of chronic pulmonary disease,history of diabetic mellitus,perioperative hypoproteinemia,op-eration duration,and time of recovery of gastrointestinal function after surgery （P〈0.05）.The multivariate logis-tic regression analysis showed that the BMI,history of chronic pulmonary disease,history of diabetic mellitus, perioperative hypoproteinemia,operation duration,and time of recovery of gastrointestinal function after surgery were the independent risk factors for the postoperative infections in the patients undergoing laparoscopic colorectal cancer resection.CONCLUSION There are a variety of risk factors for the postoperative infections in the patients undergoing laparoscopic colorectal cancer resection,among which the BMI,diabetic mellitus,and operation dura-tion are dominant.It is necessary to take corresponding prevention measures in response to the risk factors so as to reduce the incidence of the postoperative infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第1期186-188,共3页
Chinese Journal of Nosocomiology
基金
浙江省医学会基金资助项目(2011ZYC-A07)
浙江省医药卫生科技基金资助项目(2008TG007)
关键词
腹腔镜
直肠癌根治术
术后感染
危险因素
Laparoscope
Colorectal cancer resection
Postoperative infection
Risk factor
