摘要
目的分析腹腔镜老年上消化道穿孔修补术后切口感染的相关影响因素。方法回顾性分析我院2017-03—2019-03间行腹腔镜上消化道穿孔修补术治疗的321例老年上消化道穿孔患者的临床资料。根据术后切口感染情况将其分为感染组(34例)与对照组(287例)。通过Excel建立患者数据库,分析性别、年龄、BMI、合并糖尿病、吸烟、手术时间、营养不良等相关因素与腹腔镜老年上消化道穿孔修补术后切口感染的相关性。结果年龄、BMI、合并糖尿病、吸烟、手术时间等因素与腹腔镜老年上消化道穿孔修补术后切口感染的发生相关,(P<0.05);经多因素Logistic回归分析发现,年龄>70岁、BMI>25、合并糖尿病、有吸烟史、手术时间>60 min是腹腔镜老年上消化道穿孔修补术后切口感染的独立影响因素(P<0.05)。结论老年上消化道穿孔患者腹腔镜修补术后切口感染的发生与患者的体质因素及手术时间密切相关,应尽量缩短手术时间,并在护理中应加强针对性干预,以控制切口感染的发生。
Objective To analyze the related factors of laparoscopic infection of the incision after upper gastrointestinal perforation repair.Methods Retrospective analysis of clinical data of 321 elderly patients with upper gastrointestinal perforation treated by laparoscopic upper gastrointestinal perforation repair from March 2017 to March 2019 in our hospital.According to the postoperative wound infection,the patients were divided into the infected group(34 cases)and the control group(287 cases).A patient database was established through Excel to analyze the correlation between gender,age,BMI,diabetes,smoking,operation time,malnutrition and other factors related to incision infection after laparoscopic upper gastrointestinal perforation repair.Results Age,BMI,diabetes mellitus,smoking,and operation time were higher in the incidence of wound infection after laparoscopic upper gastrointestinal perforation repair(P<0.05).Multivariate logistic regression analysis showed that age>70 years,BMI>25,diabetes mellitus,smoking history,and operation time>60 min were independent influencing factors of incision infection after laparoscopic upper gastrointestinal perforation repair(P<0.05).Conclusion In the elderly patients with upper gastrointestinal perforation,the incidence of wound infection after laparoscopic repair is closely related to the patient's physical factors and operation time.The operation time should be shortened as much as possible,and targeted intervention should be strengthened in the nursing to control the occurrence of wound infection.
作者
李倩
Li Qian(Zhengzhou Seventh People's Hospital,Department 2 of general surgerg,450000)
出处
《河南外科学杂志》
2020年第4期15-17,共3页
Henan Journal of Surgery
关键词
腹腔镜
上消化道穿孔
切口感染
因素
Laparoscopy
Upper gastrointestinal perforation
Incision infection
Factors
