胃癌患者胃远端切除术后腹部感染的危险因素分析  

Analysis of Risk Factors for Postoperative Abdominal Infection in Patients with Gastric Cancer Undergoing Distal Gastrectomy

作　　者：程言磊 Cheng Yanlei(General Surgery Department,Fengxian People's Hospital,Xuzhou 221700,Jiangsu)

机构地区：[1]徐州市丰县人民医院普外科,江苏徐州221700

出　　处：《中国社区医师》2024年第31期32-34,共3页Chinese Community Doctors

摘　　要：目的:分析胃癌患者胃远端切除术后腹部感染的危险因素。方法:选取2021年3月—2024年3月于徐州市丰县人民医院行胃远端切除术的胃癌患者90例作为研究对象,根据术后是否发生腹部感染分为感染组和非感染组,各45例。收集并比较两组临床资料,分析胃癌患者胃远端切除术后腹部感染的危险因素。结果:两组淋巴结清扫范围、手术时间、术中出血量、术中输血情况、低蛋白血症发生情况、腹腔引流时间比较,差异有统计学意义(P<0.05)。手术时间>3 h、腹腔引流时间>10 d是胃癌患者胃远端切除术后腹部感染的独立危险因素。结论:临床应针对胃癌患者胃远端切除术后腹部感染的独立危险因素制定针对性应对措施,降低术后腹部感染发生率。Objective:To analyze the risk factors for postoperative abdominal infection in patients with gastric cancer undergoing distal gastrectomy.Methods:A total of 90 patients with gastric cancer who underwent distal gastrectomy at Fengxian People's Hospital in Xuzhou from March 2021 to March 2024 were selected as the study subjects.They were divided into the infection group and the non-infection group according to whether they had postoperative abdominal infection,with 45 cases in each group.The clinical data in the two groups were collected and compared.The risk factors for postoperative abdominal infection in patients with gastric cancer undergoing distal gastrectomy were analyzed.Results:There were statistically significant differences in lymph node dissection range,operation time,intraoperative bleeding volume,intraoperative blood transfusion status,hypoproteinemia occurrence,and abdominal drainage time between the two groups(P<0.05).The operation time>3 h and abdominal drainage time>10 d were independent risk factors for postoperative abdominal infection in patients with gastric cancer undergoing distal gastrectomy.Conclusion:In view of independent risk factors for postoperative abdominal infection in patients with gastric cancer undergoing distal gastrectomy,it is necessary to formulate targeted countermeasures in clinical setting,and to reduce the incidence of postoperative abdominal infection.

关 键 词：胃癌 胃远端切除术 腹部感染 

分 类 号：R619[医药卫生—外科学]