摘要
目的研究急性阑尾炎切口感染的影响因素。方法采用回顾性研究的方法,收集急性阑尾炎手术患者的病历资料,根据感染情况进行病例对照研究。结果年龄(t=5.13,P<0.05)、BMI指数(t=4.26,P<0.05)、手术时间(t=3.92,P<0.05)、手术出血量(t=4.87,P<0.05)、阑尾病理(χ2=4.76,P<0.05)对手术后的切口感染具有重要的影响。结论急性阑尾炎手术要注意无菌操作,重视手术的术前准备工作,减少手术时间,重视抗生素的使用,加强对高危人群的监护,尽可能地减少术后切口感染的发生。
Objective To study the influence factors of acute appendicitis incision infection. Methods A retrospective study was used to collect the medical records of patients with acute appendicitis, the case-control study was used to study the influence factors of infection. Results The age （t = 5.13, P 〈 0.05）, BMI （t = 4.26, P 〈 0.05）, operative time （t = 3.92, P 〈 0.05）, surgical bleeding （t = 4.87, P 〈 0.05） and appendix pathology （X^2= 4.76, P 〈 0.05） had an important implica- tions to incision infection. Conclusion Acute appendicitis should pay more attention to aseptic technique, attach importanee to preoperative preparations; reduce surgical time, emphasis on the use of antibiotics. More attention should be given to high-risk groups and reduce the incidence of postoperative infection as much as possible.
出处
《中国当代医药》
2012年第28期29-29,31,共2页
China Modern Medicine
关键词
急性阑尾炎
切口感染
手术
临床分析
Acute appendicitis
Surgical wound infection
Operation
Clinical analysis
