急性化脓性阑尾炎患者切口感染因素分析  

Influencing factors for incision infections in patients with acute suppurative appendicitis

作　　者：任世强[1] 刘建芳[2] 

机构地区：[1]宁波市宁波大学医学院附属医院外科,浙江宁波315030 [2]浙江中医药大学第二临床医学医院骨科,浙江杭州310005

出　　处：《中华医院感染学杂志》2015年第2期399-400,406,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生基金资助项目(2011KYA114)

摘　　要：目的研究急性化脓性阑尾炎患者切口感染分析,以降低切口感染率。方法将2007年3月-2013年3月医院收治的596例患者作为研究对象,调查患者的性别、年龄、病史、体质量指数(BMI)、实施的手术方式、手术切口长度、手术时间等,用logistic回归分析筛选影响因素,采用SPSS13.0软件进行统计分析。结果 596例患者阑尾切除手术之后,切口感染率为3.52%,患者感染与其年龄、BMI≥24kg/m2、手术时间≥1h及实施开腹手术有关,其均为导致患者切口感染的单因素(P<0.05);logistic回归分析显示,切口感染与体质量指数≥24kg/m2、手术时间≥1h以及实施开腹手术方式等因素直接相关,其OR值分别为3.469、2.279、6.763。结论合理把握体质量指数、手术时间以及手术方式可以有效减少切口感染率,该方法应该作为以后临床实践中的经验并加以推广。OBJECTIVE To study the influencing factors for incision infections in the patients with acute suppurative appendicitis so as to reduce the incidence of incision infections.METHODS A total of 596 patients who were treated in the hospital from Mar 2007 to Mar 2013 were recruited as the study objects;the genders,age,history of disease,body mass index（BMI）,types of surgery,length of surgical incision,and operation duration of the patients were investigated;the logistic regression analysis was conducted to screen out the influencing factors,and the statistical analysis was performed by using SPSS13.0software.RESULTS The incidence of incision infections was3.52%in the 596 patients after the appendectomy.The incidence of the incision infections was associated with the age,BMI no less than 24kg/m^2,operation duration no less than 1hour,and laparotomy,all of which were the single factors for the incision infections（P〈0.05）.The logistic regression analysis indicated that the incidence of incision infections was directly related to the BMI no less than 24kg/m^2,operation duration no less than 1hour,and laparotomy,with the ORvalues of 3.469,2.279,and 6.763,respectively.CONCLUSIONIt is an effective way to reasonably grasp the BMI,operation duration,and types of surgery so as to reduce the incidence of incision infections,and this method is worthy to be promoted in the hospital.

关 键 词：急性化脓性阑尾炎 切口感染 因素分析 LOGISTIC回归分析 

分 类 号：R619.3[医药卫生—外科学]