剖胸术后营养状况与切口感染关系的探讨  

Case-control Studies on Relationship Between Surgical Wound Infection and Post-thoracotomic Nutritional Status

作　　者：刘连生[1] 崔少罡[1] 崔示德[1] 常诚[1] 白玲[1] 张国强[2] 

机构地区：[1]解放军264医院胸外科,山西太原030001 [2]重庆第三军医大学附属新桥医院胸外科

出　　处：《中国医师杂志》2002年第11期1212-1214,共3页Journal of Chinese Physician

摘　　要：目的　探讨剖胸术后切口感染与营养状况的相关性。方法　以胸外科剖胸手术病人为研究对象 ,通过病例对照分析方法 ,将病人分为单纯切口感染组 (感染组 )和切口一期愈合组 (对照组 ) ,各 15例 ;分别记录两组术后第 5d血清蛋白定量和累计氮平衡 ;统计数据以t检验处理。结果　感染组血清蛋白各指标均数都低于对照组 ,其中总蛋白比较有统计学意义 (P <0 0 5 ) ,白蛋白比较有极显著差异性 (P <0 0 1) ,前白蛋白比较无统计学意义 (P >0 0 5 ) ,转铁蛋白比较有显著差异性 (P <0 0 5 ) ;感染组和对照组术后 5d累积氮平衡分别为%D -(2 4 5 7± 11 4 3)g和 - (18 4 5± 9 19)g ,两组比较有显著差异性 (P <0 0 5 )。结论　剖胸术后营养状况与切口感染有密切的相关性 ,术后合理的营养支持在预防切口感染中有积极的意义。Objective To explore the relationship between the post-thoracotomic wound infection and nutritional status.Methods The patients treated with thoracotomy were divided into the simple wound infection group(n=15) as the experimental group and the phase Ⅰ healed group (n=15) as the control group.On the fifth day after operation, the sero-albumin quantity and cumulative nitrogen balance were recorded respectively. The statistical data were given the test.Results Every average index of sero-albumin in the experimental group was lower than the control group. Among them, the total protein comparison had statistical significance (P<0 05), albumin comparison had very apparent difference (P<0 01), pre-albumin comparison had no statistical significance (P>0 05) and transferrin comparison had statistical difference (P<0 05). On the fifth day after operation, cumulative nitrogen balance in the two groups were -(24 57±11 43)g and-(18 45±9 19)g respectively. The comparison between the two groups showed greater difference (P<0 05).Conclusions Surgical wound infection had close correlation with nutritional status for the thoracotomy patients. Reasonable nutritional support had active significance to prevent wound infection.

关 键 词：剖胸手术 营养状况 切口感染 相关性 

分 类 号：R655[医药卫生—外科学]