期刊文献+

化脓性阑尾炎急性穿孔患者手术部位感染相关因素分析 预览

Analysis of related factors of surgical site infection in patients with acute perforation of suppurative appendicitis
在线阅读 免费下载
分享 导出
摘要 目的:分析化脓性阑尾炎急性穿孔手术部位感染的相关因素,为临床防控提供参考依据。方法:回顾2012-02~2018-07我院收治的1 196例行化脓性阑尾炎急性穿孔手术患者的临床资料,通过对其发生手术部位感染的相关因素进行单因素与多因素回归分析,以确定引起化脓性阑尾炎急性穿孔手术部位感染的影响因素。结果:1 196例化脓性阑尾炎急性穿孔患者中发生手术部位感染者132例,感染率为11.04%。Logistic回归模型分析显示,腹膜炎表现为弥漫性、手术时机为穿孔6 h内、手术方式为开腹、引流时间≥2 d、血糖浓度≥11.1 mmol/L是化脓性阑尾炎急性穿孔手术部位感染的独立危险因素(P<0.05)。术中预防使用抗菌药物、引流管通畅、胃肠功能恢复时间为术后24 h内、含抗菌药物冲洗液是化脓性阑尾炎急性穿孔手术部位感染的独立保护因素(P<0.05)。结论:化脓性阑尾炎急性穿孔手术部位感染与多种因素有关,早期诊断、急诊手术治疗、尽量采用微创手术、抗菌药物腹腔冲洗、术中预防使用抗菌药物、保持腹腔引流管通畅、早期拔除引流管、促进胃肠功能早期恢复及有效控制血糖等为主的综合措施,可有效减少化脓性阑尾炎急性穿孔手术部位感染。 Objective:To analyze the related factors of surgical site infection in patients with acute perforation surgery in suppurative appendicitis,and to provide reference for clinical prevention and control.Methods:The clinical data of 1 196 patients with acute perforation of suppurative appendicitis from February 2012 to July 2018 were reviewed,and the factors related to the surgical site infection were analyzed by single factor and multivariate regression analysis.Results:Among the 1 196 patients with acute perforation of suppurative appendicitis,132 cases had surgical site infection,and the infection rate was 11.04%.Logistic regression model analysis showed that peritonitis diffuse,timing of surgery within 6 hours after perforation,surgical procedure opening,drainage time≥2 d,blood glucose≥11.1 mmol/L.There were suppurative appendicitis independent risk factors for acute perforation surgery(P<0.05).Intraoperative prevention of antibiotics,drainage tube patency,gastrointestinal function recovery time within24 hours after surgery,rinsing solution including antibacterial rinsing solution.There were independent protective factors of acute perforated surgical site infection in suppurative appendicitis(P<0.05).Conclusion:The infection of acute perforation of suppurative appendicitis is related to many factors.Early diagnosis and emergency surgery are needed to reduce the spread of abdominal infection.Minimally invasive surgery,antibacterial drug peritoneal lavage,intraoperative prevention of antibiotics,and maintenance of abdominal drainage are maintained,timely evaluation of early removal of drainage tube,promotion of early recovery of gastrointestinal function,effective control of blood glucose and other comprehensive measures,can effectively reduce the infection of acute perforated surgical site of suppurative appendicitis.
作者 谢朝云 蒙桂鸾 熊芸 杨忠玲 陈应强 杨怀 XIE Chaoyun;MENG Guiluan;XIONG Yun;YANG Zhongling;CHEN Yingqiang;YANG Huai(The Third Affiliated Hospital of Guizhou Medical University,Department of Infection Management;The Third Affiliated Hospital of Guizhou Medical University,Department of Laboratory;The Third Affiliated Hospital of Guizhou Medical University,Department of Infectious Diseases,Duyun 558000,China;Department of Infection Management,Guizhou Provincial People′s Hospital)
出处 《西北国防医学杂志》 CAS 2019年第2期77-82,共6页 Medical Journal of National Defending Forces in Northwest China
基金 贵州省科技厅联合项目(黔科合LH字2014-7162) 贵州省黔南州社会发展科技项目(黔南科合社字2013-20).
关键词 化脓性阑尾炎 急性穿孔 手术部位感染 相关因素 LOGISTIC回归分析 suppurative appendicitis acute perforation surgical site infection related factors Logistic regression analysis
作者简介 谢朝云(1968-),男,水族,硕士,主任医师,E-mail:xcu2009@163.com;通讯作者:杨怀,E-mail:syygkhy@126.com。
  • 相关文献

参考文献11

二级参考文献98

共引文献96

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈