先天性巨结肠术后发生感染的相关因素分析  

Related factors of infection after surgery for hirschsprung disease in children

作　　者：张芳芳[1] 孙贝贝[1] 吴晓燕 张雯[1] Zhang Fangfang;Sun Beibei;Wu Xiaoyan;Zhang Wen(Department of Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院小儿外科,郑州450000

出　　处：《中国实用医刊》2023年第24期59-61,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨先天性巨结肠(HD)术后发生感染的相关因素。方法抽取2022年5月至2023年4月于郑州大学第一附属医院行HD术的患儿75例,按照术后是否发生感染分为发生组(32例)和未发生组(43例)。收集所有患儿的性别、月龄、体质指数(BMI)、肠炎史、临床分型、白细胞水平、红细胞水平、白蛋白水平、术前清洁灌肠情况、手术方法等临床资料,分析HD术后发生感染的相关影响因素。结果单因素分析结果显示,月龄、BMI、肠炎史是HD术后发生感染的影响因素(P<0.05);Logistic回归分析结果显示,月龄<10个月、BMI<16 kg/m2、有肠炎史是HD术后发生感染的危险因素(P<0.05)。结论月龄小、BMI低、有肠炎史等均会增加HD术后感染风险,临床应根据相关危险因素采取针对性预防措施,最大程度改善患儿预后。Objective To investigate the related factors of postoperative infection after surgery for hirschsprung disease(HD)in children.Methods A total of 75 children with HD treated in the First Affiliated Hospital of Zhengzhou University from May 2022 to April 2023 were selected,and they were divided into occurrence group(32 children)and non-occurrence group(43 children)according to occurrence of infection after surgery.The clinical data of all children,including gender,age,body mass index(BMI),history of enteritis,clinical classification,white blood cell level,red blood cell level,albumin level,preoperative cleansing enema,surgical method,were collected.The related factors affecting the postoperative infection of HD were analyzed.Results The results of univariate analysis showed that the infant age,BMI,history of enteritis were the influencing factors of postoperative infection of HD(P<0.05).The results of logistic regression analysis showed that infant age<10 months,BMI<16 kg/m2,history of enteritis were the risk factors for postoperative infection of HD(P<0.05).Conclusions There are various influencing factors of infection after surgery for HD.Young of age,low BMI,and history of enteritis can increase the risk of postoperative infection of HD.Clinical prevention measures should be taken according to related risk factors to improve the prognosis of children.

关 键 词：先天性巨结肠 手术 感染 相关因素 

分 类 号：R726.5[医药卫生—儿科]