摘要
目的探讨老年腹部肿瘤患者术后医院感染的危险因素及预防措施。方法选取2015年3月至2017年3月间海南省三亚市人民医院收治的310例老年腹部肿瘤患者进行回顾性分析,根据患者术后医院感染发生情况,对感染的危险因素进行Logistic回归分析。结果 310例患者中,68例发生医院感染,医院感染率为21. 9%,其中,肺部感染占比最高,为12. 3%。单因素分析显示,患者的年龄、体质量指数、呼吸道疾病、糖尿病、吸烟、麻醉风险评分分级、手术时间、手术部位及气管插管等与术后医院感染密切相关,差异均有统计学意义(均P <0. 05)。经多因素logistic回归分析,患者手术时间、麻醉风险评分分级、合并糖尿病、高龄和气管插管是引起腹部肿瘤患者术后医院感染的独立高危因素,差异均有统计学意义(均P <0. 05)。结论老年腹部肿瘤患者术后医院感染与高龄、手术时间、麻醉风险评分分级及合并糖尿病等因素相关,采用有效预防措施,能降低术后医院感染的发生。
Objective To explore the risk factors and preventive measures for postoperative nosocomial infections in elderly patients with abdominal tumors. Methods A total of 310 elderly patients with abdominal tumors treated at Sanya People＇s Hospital from March 2015 to March 2017 were selected and retrospectively analyzed. The incidence of postoperative hospital infection was statistically analyzed,and the risk factors for hospital infection after operation were analyzed by Logistic regression analysis. Results Of the310 patients,there were 68 cases of nosocomial infection. The hospital-acquired infection rate was 21. 9%,of which the ratio of pulmonary infection was the highest,12. 3 %. Univariate analysis showed that age,BMI,respiratory disease,diabetes,smoking,anesthesia risk rating scale,operation time,surgical site and intubations were independent risk factors for postoperative nosocomial infections in elderly patients with abdominal tumors（ all P〈0. 05）. Conclusion The nosocomial infection is related to elderly,operation time,anesthesia risk rating scale and the complication of diabetes in the elderly patients with abdominal tumors. The effective preventive measures can reduce the incidence of postoperative hospital-acquired infection.
作者
孙宗琪
吴先群
蔡成章
SUN Zong-qi;WU Xian-qun;CAI Cheng-zhang(Department of Anesthesiology,Sanya People＇s Hospital,Sanya 572000,China)
出处
《中国肿瘤临床与康复》
2018年第11期1354-1356,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
腹部肿瘤
术后医院感染
危险因素
预防措施
Abdominal tumors
Postoperative hospital infection
Risk factors
Preventive measures
