急性阑尾炎手术患儿住院期间切口感染的发生率及相关因素的分析  

Analysis of the Incidence and Related Factors of Incisional Infection in Children Undergoing Acute Appendicitis Surgery during Hospitalization

作　　者：晁帅 晁阳 曹冬晓 CHAO Shuai;CHAO Yang;CAO Dong-xiao(Emergency Department,Shaoling District Hospital of Traditional Chinese Medicine,Luohe 462000,Henan Province,China;Department of Obstetrics and Gynecology,Shaoling District Hospital of Traditional Chinese Medicine,Luohe 462000,Henan Province,China)

机构地区：[1]河南省漯河市召陵区中医院急诊科,河南漯河462000 [2]河南省漯河市召陵区中医院妇产科,河南漯河462000

出　　处：《罕少疾病杂志》2025年第1期124-126,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析急性阑尾炎(AA)手术患儿住院期间切口感染(SSI)发生率及相关因素分析。方法回顾性分析法选择2022年7月至2023年7月68例AA手术患儿的临床资料,依据住院期间是否发生SSI进行分组,将评估出SSiIi者划分为发生组,未评估出感染者则划分为未发生组,收集2组患儿疾病相关.特征、一般资料,分析AA手术患儿住.院期间发生SSI相关因素,通过Logstc回归分析有差异项目。结果68例AA手术患儿中19例发生SSI,发生率为2794%,未发生SS.I共有49例,占比7206%;2组年龄、体征指数(BMI)、性别、基础疾病、切口类型、切口方法、切口保.护、术前CRPi水i平比较发生无统计学意义(P>005),发生组使用预防性抗菌药物、留置腹腔引流管、手术时间、阑尾穿孔和未发生组存在显著差异(P<005);采取Logstc回归方程计算上述有差异的项目,发现使用预防性抗菌药物、留置腹腔引流管、手术时间、阑尾穿孔是AA患儿发生SSI的危险因素。结论AA手术患儿住院期间发生SSI的因素存在多种,如使用预防性抗菌药物、留置腹腔引流管、手术时间、阑尾穿孔,临床需高度引起重视,最大程度降低SSI发生风险。Objective To analyze the incidence and related factors of incisional infection(SSI)in children undergoing acute appendicitis(AA)surgery during hospitalization.Methods The clinical data of 68 children with AA operation from July 2022 to July 2023 were retrospectively analyzed,and the patients with SSI were divided into the occurrence group according to whether SSI occurred during hospitalization,and the patients without SSI were divided into the non-occurrence group.The disease-related characteristics and general data of the children in the two groups were collected.The factors related to SSI during hospitalization of children with AA surgery were analyzed,and the differences were analyzed by Logistic regression.Results Among 68 children with AA operation,19 cases developed SSI(27.94%),while 49 cases did not,accounting for 72.06%.There were no significant differences in age,physical sign index(BMI),gender,underlying diseases,incision type,incision method,incision protection and preoperative CRP levels between the two groups(P>0.05).There were significant differences between the occurrence group and the non-occurrence group(P<0.05)in the use of prophylactics,indindent abdominal drainage tube,operation time and appendix perforation.Logistic regression equation was used to calculate the above difference items,and it was found that the use of prophylactic antibiotics,indentation of abdominal drainage tube,operation time,and appendix perforation were risk factors for SSI in children with AA.Conclusion There are many factors for the occurrence of SSI in children with AA surgery during hospitalization,such as the use of prophylactic antibiotics,the indentation of abdominal drainage tube,the operation time,and appendix perforation,which should be paid high attention in clinic to minimize the risk of SSI occurrence.

关 键 词：急性阑尾炎 住院期间 切口感染 留置腹腔引流管 阑尾穿孔 

分 类 号：R574.61[医药卫生—消化系统]