腹部肿瘤患者术后肺部感染的危险因素分析  

Risk factors for postoperative pulmonary infections in abdominal tumor patients

作　　者：程琪梅 易小英[2] 刘越峰[3] 

机构地区：[1]黄冈市中心医院外科,湖北黄冈438000 [2]黄冈市中心医院妇产科,湖北黄冈438000 [3]湖北医药学院附属十堰市人民医院眼科,湖北十堰442000

出　　处：《中华医院感染学杂志》2013年第16期3927-3928,3934,共3页Chinese Journal of Nosocomiology

基　　金：湖北省十堰市科技计划项目(2010st30)

摘　　要：目的探讨分析腹部肿瘤患者术后发生肺部感染的危险因素,为临床预防术后感染提供有效科学依据。方法以2010年1月-2013年1月接受腹部肿瘤手术的511例患者为研究对象,对其临床资料进行回顾性分析,并对差异有统计学意义的危险因素进行单因素及非条件logistic多因素回归分析,找出导致腹部肿瘤患者术后发生肺部感染的独立危险因素。结果 511例腹部肿瘤患者术后发生肺部感染200例,感染率为39.14%,单因素分析结果显示,年龄、术前并发症、术前放化疗、介入性导管留置、手术时间这5个因素在感染和未感染患者间差异有统计学意义(χ2=10.118、5.722、6.298、4.479、4.463,P<0.05);logistic回归分析结果显示,年龄(β=1.665,OR=5.033)、术前并发症(β=1.925,OR=6.402)、术前放化疗(β=1.809,OR=5.733)、介入性导管留置(β=1.721,OR=5.287)、手术时间(β=0.743,OR=2.099)是腹部肿瘤患者术后发生肺部感染的危险因素。结论腹部肿瘤患者术后发生肺部感染较多,应对易导致腹部肿瘤患者术后发生肺部感染的各种危险因素有针对性的加强防范,有效降低腹部肿瘤患者术后肺部感染的发生率和死亡率。OBJECTIVE To explore the risk factors for postoperative pulmonary infections in the abdominal tumor patients so as to provide scientific basis for prevention of postoperative infections.METHODS A total of 511 abdominal tumor patients who underwent surgery in the hospital from Jan 2010to Jan 2013were enrolled in the study,then the clinical data were retrospectively analyzed,the univariate analysis and non-conditional multivariate logistic regression analysis were performed for the risk factors with statistical difference so as to find out the independent risk factors for the postoperative pulmonary infections.RESULTS Of totally 511cases of abdominal tumor patients,the pulmonary infections occurred in 200cases with the infection rate of 39.14%.The univariate analysis indicated that the difference in the age,preoperative complication,preoperative chemoradiotherapy,interventional catheter indwelling,or operation duration between the patients with infections and the patients without infections was significant（χ2=10.118,5.722,6.298,4.479,4.463,P0.05）;while the result of the logisticregression analysis showed that the risk factors of postoperative pulmonary infections in the abdominal tumor patients were the age（β=1.665,OR=5.033）,preoperative complications（β=1.925,OR=6.402）,preoperative chemoradiotherapy（β=1.809,OR=5.733）,interventional catheter indwelling（β=1.721,OR=5.287）,and operation duration（β=0.743,OR=2.099）.CONCLUSIONThere are many factors for the postoperative pulmonary infections in the abdominal tumor patients,it is necessary to take targeted interventions to the various risk factors so as to effectively reduce the incidence rate of postoperative pilonary infections and the mortality.

关 键 词：腹部肿瘤 肺部感染 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统]