老年患者择期开腹手术后感染风险因素分析  

Analysis on Risk Factors for Infection in Elderly Patients Undergoing Elective Abdominal Operation

作　　者：陈宏[1] 李非[1] 贾建国[1] 孙家邦[1] 

机构地区：[1]首都医科大学宣武医院普外科,北京100053

出　　处：《中国普外基础与临床杂志》2013年第10期1137-1140,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨老年患者择期开腹手术后发生感染并发症的危险因素。方法对2010年5月至2012年2月期间笔者所在医院收治的159例接受择期开腹手术的老年患者的临床资料进行回顾性分析。其中38例(23.90%)术后出现感染并发症(感染组),121例无感染并发症(无感染组),比较2组患者术前相关生理学指标、健康状况指标、手术指标以及术后感染并发症及死亡情况的差异。结果本组159例患者术后感染并发症发生率为23.90%(38/159);术后死亡2例,术后病死率为1.26%。单因素及多因素logistic回归分析结果提示,患者术前的营养风险、糖尿病史和慢性呼吸系统疾病是术后感染并发症的独立危险因素。结论术前改善老年患者肺部疾病、糖尿病及营养状态,可能对降低术后感染并发症发生率有益。Objective To assess the risk factors associated with postoperative infection after elective abdominal operation for elderly in department of general surgery. Methods One hundred and fifty-nine consecutive elderly patients admitted to the department of general surgery in our hospital for elective abdominal operation between May 2010 and February 2012 were considered for inclusion and retrospectively analyzed. Thirty-eight patients （23.90%） with postoperative infection were taken as the infection group and 121 patients without postoperative infection as noninfection group. The differences in the objective physiological indicators, subjective health status indicators, operation status, the incidence of postoperative infective complications, and mortality were compared between the two groups. Results Of enrolled 159 patients in this study, the incidence of postoperative infective complications was 23.90% （38/159） ; 2 patients died, and the postoperative mortality rate was 1.26%. Single factor and multivariate logistic regression analysis showed that preoperative malnutrition risk, history of diabetes, and chronic respiratory system disease were the independent risk factors of postoperative infection complications in elective abdominal surgery for elderly patients. Conclusion Improving preoperative respiratory function, diabetes mellitus, and nutritional status would help to reduce incidence of postoperative infection for elderly patients with elective abdominal operation.

关 键 词：老年患者 腹部 择期手术 风险因素 

分 类 号：R656[医药卫生—外科学] R619.3[医药卫生—临床医学]