经皮经肝胆道引流术后胆道感染的相关因素分析  

Analysis of related factors for infection after percutaneous transhepatic biliary drainage

作　　者：刘凌云[1] 鲁杰[1] 李香瑞[1] 

机构地区：[1]郑州人民医院普外科,河南郑州450003

出　　处：《中华医院感染学杂志》2014年第24期6165-6167,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技厅研究基金资助项目(13-33)

摘　　要：目的探讨经皮经肝胆道引流(PTCD)术后胆道感染的相关因素,为更好的预防和控制术后胆道感染提供参考依据。方法选取2009年2月-2012年11月医院因梗阻性黄疸接受PTCD术的患者共66例,回顾性分析手术前后临床以及实验室指标,采用单因素分析对影响术后胆道感染因素进行总结,采用SPSS13.0进行统计分析。结果 66例接受PTCD手术患者中术后发生胆道感染16例,感染率为24.2%;通过对手术前后各项指标监测,结果发现患者术后胆道感染的主要影响因素包括:年龄>70岁、术前黄疸天数>15d、术前有胆道感染以及术前生活质量评分、引流方式、每日平均引流量等,差异有统计学意义(P<0.05)。结论在实施PTCD术的过程中加强术后胆道感染的预防和控制意义重大,具体要做好术后的平均引流量、引流方式、术前黄疸天数等影响因素的监测和控制,消除和控制感染的影响因子,从而降低术后感染的发生率,有效改善患者预后。OBJECTIVE To investigate related factors for biliary tract infection after percutaneous transhepatic bili‐ary drainage （PTCD） so as to provide guidance for prevention and control of postoperative biliary tract infection . METHODS A total of 66 cases receiving PTCD due to obstructive jaundice during Feb .2009 to Nov .2012 in our hospital were enrolled .Clinical and laboratory parameters before and after surgery were retrospectively analyzed . The univariate analysis was used to summarize the factors affecting postoperative biliary tract infection .The soft‐ware SPSS13 .0 was used for statistical analysis .RESULTS Among the 66 patients undergoing PTCD ,16 had postoperative biliary tract infection ,the infection rate was 24 .2% .Through the observation of the indicators be‐fore and after surgery ,it was found that the main factors for postoperative biliary tract infection included age ,pre‐operative jaundice days ,presence of preoperative biliary tract infection ,preoperative quality of life score ,drainage ways ,daily average drainage flow ,with statistical significance （P＆lt;0 .05） .CONCLUSION In the implementation of PTCD ,to strengthen the prevention and control of postoperative biliary tract infection is of great significance , specifically to monitor and control average postoperative drainage ,drainage ways ,and preoperative jaundice days so as to eliminate and control infective factors ,thereby reducing the incidence of postoperative infection and impro‐ving patient outcomes .

关 键 词：经皮经肝胆道引流术 胆道感染 梗阻性黄疸 

分 类 号：R619.3[医药卫生—外科学]