胃癌根治术后腹腔淋巴漏合并腹腔感染的影响因素  

Influencing factors for retroperitoneal lymph fistula complicated with abdominal infections after radical gastrectomy

作　　者：向燕卿[1] 邓辉[1] 魏大琼[2] 

机构地区：[1]重庆三峡医药高等专科学校护理系,重庆万州404120 [2]重庆三峡中心医院护理部,重庆万州404140

出　　处：《中华医院感染学杂志》2014年第1期154-156,共3页Chinese Journal of Nosocomiology

基　　金：重庆市高等教育教学改革重点课题基金资助项目(1202097)

摘　　要：目的探讨影响胃癌根治术后腹腔淋巴漏并腹腔感染的相关因素,并探讨护理方法,以降低感染的发生。方法采用回顾性方法对医院2011年2月-2012年2月280例胃癌根治术患者的临床资料进行分析,其中感染12例,为感染组,另268例未感染者为对照组,对两组患者进行对比分析;采取SPSS18.0软件进行统计分析,计量资料采用t检验,计数资料采用χ2检验,因素的相关性采取logistic回归分析。结果 280例胃癌根治手术患者术后发生腹腔淋巴漏并腹腔感染12例,感染率为4.3%;相关因素分析显示,贫血、低蛋白血症和临床分期与手术方式均为影响胃癌根治术后腹腔淋巴漏并腹腔感染的相关因素(P<0.05),经多因素logistic回归分析,临床分期和手术方式均为胃癌根治术后腹腔淋巴漏并腹腔感染的独立危险因素。结论胃癌根治术后发生腹腔淋巴漏并腹腔感染的原因较多,临床中应合理选取手术方法,并加强针对性的护理,降低感染的发生。OBJECTIVE To investigate the related factors for retroperitoneal lymph fistula complicated with abdominal infections after radical gastrectomy and explore nursing measures so as to reduce the incidence of infections. METHODS The clinical data of 280patients who underwent the radical gastrectomy in the hospital from Feb 2011 to Feb 2012were retrospectively analyzed,the subjects included 12cases of infections（the infection group）and 268cases of patients without infections（the control group）,then a comparative study was conducted;the statistical analysis was performed with the use of SPSS18.0 software,the measurement data were analyzed by using ttest,the count data were analyzed with the chi-square test,and the logistic regression analysis was carried out for the correlation between the factors.RESULTS Among the 280patients who underwent the radical gastrectomy,the retroperitoneal lymph fistula complicated with abdominal infections occurred in 12cases with the infection rate of 4.3%.The analysis of the related factors showed that the anemia,hypoproteinemia,clinical staging,and surgical procedure were the related factors for the retroperitoneal lymph fistula complicated with abdominal infections after radical gastrectomy（P0.05）;the multivariate logistic regression analysis indicated that the clinical staging and surgical procedure were the independent risk factors for the retroperitoneal lymph fistula complicated with abdominal infections after radical gastrectomy.CONCLUSIONThere are a variety of factors associated with the retroperitoneal lymph fistula complicated with abdominal infections after radical gastrectomy;it is necessary for the hospital to choose reasonable surgical procedure and enhance the targeted nursing so as to reduce the incidence of infections.

关 键 词：胃癌根治术 腹腔淋巴漏 腹腔感染 影响因素 

分 类 号：R619.3[医药卫生—外科学]