直肠癌根治术手术部位感染围术期相关因素分析  

Analysis of perioperative related factors of surgical site infection in radical resection of rectal cancer

作　　者：谢朝云 蒙桂鸾 熊芸 李耀福 王民开 杨怀[2] XIE Chao-yun;MENG Gui-luan;XIONG Yun;LI Yao-fu;WANG Min-kai;YANG Huai(The Third Affiliated Hospital of Guizhou Medical University,Duyun Guizhou 558000;Guizhou Provincial People’s Hospital,China)

机构地区：[1]贵州医科大学第三附属医院,贵州都匀558000 [2]贵州省人民医院

出　　处：《中国消毒学杂志》2021年第3期201-204,共4页Chinese Journal of Disinfection

基　　金：贵州省科技厅联合项目(黔科合LH字[2014]7162号);贵州省黔南州社会发展科技项目(黔南科合社字[2018]7号)。

摘　　要：目的研究直肠癌患者行根治术后手术部位感染围术期相关因素,为做好感染防控提供参考。方法以回顾性分析方法,对某医院住院行直肠癌根治手术患者手术部位感染(SSI)围术期相关因素进行分析。结果共分析917例直肠癌根治术患者,发生SSI 102例,感染发生率为11.12%。Logistic多因素回归分析显示,接受化疗、手术方式、引流管放置天数、血糖等是直肠癌根治术后发生SSI的围术期独立危险因素(P<0.05);血清白蛋白浓度是直肠癌根治术后发生SSI的围术期独立保护因素(P<0.05)。结论直肠癌根治术后SSI相关因素复杂,应有针对性地采取防控措施,以降低感染发生率。Objective To study the perioperative related factors of surgical site infection(SSI)in patients with rectal cancer after radical resection,and to provide references for infection prevention and control.Methods A retrospective analysis method was used to analyze the perioperative related factors of SSI in hospitalized patients undergoing radical resection of rectal cancer.Results A total of 917 patients undergoing radical resection of rectal cancer were analyzed.102 cases of SSI occurred,and the incidence of infection was 11.12%.Logistic multivariate regression analysis showed that chemotherapy,surgical methods,days of drainage tube placement and blood glucose were independent risk factors of SSI after radical resection of rectal cancer(P<0.05);serum albumin concentration was an independent protective factor of SSI after radical resection of rectal cancer(P<0.05).Conclusion The SSI-related factors after radical resection of rectal cancer are complex,and targeted prevention and control measures should be taken to reduce the incidence of infection.

关 键 词：直肠癌根治手术 手术部位感染 围术期因素 

分 类 号：R181.32[医药卫生—流行病学]