结直肠手术手术部位感染危险因素的logistic回归分析  

Logistic regression analysis on risk factors for surgical site infection after colorectal surgery

作　　者：胡潇云[1] 秦桂英[1] 邱隆敏[1] 龙盛双[1] 张啟鹏 王勰[1] 钟鸣[1] 周远忠[2] HU Xiao-yun;QIN Gui-ying;QIU Long-min;LONG Sheng-shuang;ZHANG Qi-peng;WANG Xie;ZHONG Ming;ZHOU Yuan-zhong(Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China;School of Public Health, Zunyi Medical College, Zunyi 563003, China)

机构地区：[1]遵义医学院附属医院,贵州遵义563003 [2]遵义医学院公共卫生学院,贵州遵义563003

出　　处：《中国感染控制杂志》2017年第12期1147-1151,共5页Chinese Journal of Infection Control

摘　　要：目的探索结直肠手术手术部位感染(SSI)的危险因素,为制定SSI预防措施提供依据。方法回顾性调查2013年6月—2016年6月某院胃肠外科结直肠手术患者,对影响感染的相关危险因素进行非条件logistic回归分析。结果 397例结直肠手术患者中,67例发生SSI,SSI发生率为16.88%。logistic回归分析结果显示,吸烟、低清蛋白、手术医生年资<5年、围手术期抗菌药物使用不规范、NNIS评分高5项因素是结直肠手术SSI的独立危险因素(均P<0.05)。结论结直肠手术SSI存在多种危险因素,应重视并针对其危险因素制定干预措施,以降低SSI发生率。ObjectiveTo explore risk factors for surgical site infection(SSI)in colorectal surgery,and provide evidence for formulating measures for preventing SSI.MethodsPatients who underwent colorectal surgery in the department of gastrointestinal surgery of a hospital from June2013to June2016were surveyed retrospectively,the related risk factors for SSI were analyzed by unconditional logistic regression analysis.ResultsAmong397patients who underwent colorectal surgery,67(16.88%)had SSI.Logistic regression analysis showed that smoking,low albumin,seniority of surgeons less than5years,irrational use of antimicrobial agents during perioperative period,and high National Nosocomial Infection Surveillance(NNIS)score were independent risk factors for SSI after colorectal surgery(all P<0.05).ConclusionThere are multiple risk factors for SSI after colorectal surgery,it is necessary to pay attention to it and formulate preventive measures,so as to reduce the occurrence of SSI effectively.

关 键 词：结直肠手术 手术部位感染 医院感染 危险因素 LOGISTIC回归分析 

分 类 号：R181.32[医药卫生—流行病学] R656[医药卫生—公共卫生与预防医学]