摘要
目的分析腹腔镜阑尾切除术患者发生术后切口感染的的临床影响因素,为临床进一步降低腹腔镜阑尾切除患者术后感染发生率提供参考依据。方法选取2013年2月至2015年2月在我院行腹腔镜阑尾切除术治疗的患者350例作为此次研究对象,回顾性分析所有患者的临床资料,并对切口感染相关影响因素进行回归性分析。结果本组350例患者中,术后发生切口感染33例,切口感染发生率为9.4%,经回归性分析发现,切口感染主要与患者年龄、手术时间、合并基础疾病、BMI等有关(P<0.05),与性别、手术切口长度无关(P>0.05)。年龄≥60岁患者较年龄<60岁患者感染率更高(P<0.05);手术时间短、合并基础疾病少、BMI低的患者其感染率均较低(P<0.05)。结论腹腔镜阑尾切除患者术后切口感染与年龄、手术时间、合并基础疾病、BMI等因素有关,临床需加强并优化术后护理措施,定期对病房进行消毒处理,医护人员需加强对细菌感染相关知识及技能的培训,以降低感染的发生率,进一步加快患者的恢复速度。
Objective To explore the clinical influencing factors of postoperative incision infection in patients undergoing laparoscopic appendectomy, and provide a reference for the clinical reduction of postoperative infection of laparoscopic appendectomy. Methods Three hundred and fifty cases of patients who underwent laparoscopic appendectomy in our hospital from February 2013 to February 2015 were selected as the subjects. The clinical data of all the patients were retrospectively analyzed, and the regression analysis of the influencing factors of incisional infection was performed.Results The incidence rate of incision infection was 9.4%（33 cases） in the 350 patients after operation. The regression analysis showed that incision infection was mainly related to the patient＇s age, operation time, combined underlying disease,BMI（P〈0.05）, and was not related to gender and surgical incision length（P〉0.05）. Patients with ages≥60 years old had higher infection rate than those under 60 years old（P〈0.05）, and the patients with shorter operation time, less combined underlying disease and lower level of BMI had lower infection rate（P〈0.05）. Conclusion The incision infection of laparoscopic appendectomy is related to age, operation time, combined with underlying diseases and BMI. It is necessary to strengthen and optimize the postoperative care measures, and carry out disinfection treatment on the ward regularly. The medical staff should strengthen the infection related knowledge and skills training, so as to reduce the incidence of infection, and further accelerate the recovery of patients.
出处
《临床医学研究与实践》
2017年第34期71-72,共2页
Clinical Research and Practice
关键词
腹腔镜阑尾切除术
术后切口感染
BMI
laparoscopic appendectomy
postoperative incision infection
BMI
