上消化道穿孔患者腹腔镜修补术后发生感染的危险因素分析  

Analysis of Risk Factors for Infection in Patients with Upper Gastrointestinal Perforation after Laparoscopic Repair

作　　者：吴远恩 WU Yuan’en(Department of No.1 Ward of General Surgery,Wenshang County People’s Hospital,Jining 272000,China)

机构地区：[1]山东省汶上县人民医院普外科一病区,山东济宁272000

出　　处：《中国伤残医学》2025年第7期19-22,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨上消化道穿孔(UGIP)患者腹腔镜修补术后发生感染的危险因素。方法:回顾性分析汶上县人民医院2020年6月—2024年6月收治的101例UGIP患者资料,所有患者均行腹腔镜修补术治疗,按术后感染的发生情况将其分为感染组(n=22)与非感染组(n=79),收集患者年龄、性别等临床资料,对术后感染发生的危险因素进行分析。结果:101例患者中,共有22例发生术后感染,发生率为21.78%。单因素分析结果显示,感染组年龄≥60岁、合并糖尿病、手术时间≥60min、低蛋白血症占比均高于未感染组,差异均有统计学意义(P<0.05);两组的性别、穿孔部位、合并高血压、合并糖尿病、吸烟史、饮酒史比较,差异均无统计学意义(P>0.05)。Logistic多因素分析结果显示,年龄≥60岁、合并糖尿病、手术时间≥60min、合并低蛋白血症为影响UGIP患者腹腔镜修补术后发生感染的独立危险因素(P<0.05)。结论:UGIP患者腹腔镜修补术后感染的发生与年龄≥60岁、合并糖尿病、手术时间≥60min、合并低蛋白血症关系密切,临床需高度重视,做好预防工作,减少感染发生。Objective:To investigate the risk factors of infection in patients with upper gastrointestinal perforation(UGIP)after laparoscopic repair.Methods:Data of 101 UGIP patients admitted to Wenshang County People’s Hospital from June 2020 to June 2024 were retrospectively analyzed.All patients underwent laparoscopic repair and were divided into an infected group(n=22)and a non-infected group(n=79)according to the incidence of postoperative infection.The clinical data such as age and gender of all patients were collected,and the risk factors of postoperative infection were analyzed.Results:Among 101 patients,22 cases developed postoperative infection,with an incidence rate of 21.78%.The results of univariate analysis showed that the proportions of age≥60 years old,diabetes mellitus,operation time≥60 min and hypoproteinemia in the infected group were higher than those in the non-infected group,the differences were statistically significant(P<0.05);there were no significant differences in gender,perforation site,hypertension,diabetes,smoking history and drinking history between the two groups(P>0.05).Logistic multivariate analysis results showed that age≥60 years old,diabetes mellitus,operation time≥60 min and hypoproteinemia were independent risk factors for infection after laparoscopic repair in UGIP patients(P<0.05).Conclusion:The incidence of infection after laparoscopic repair in UGIP patients is closely related to age≥60 years old,diabetes mellitus,operation time≥60 min,and hypoproteinemia.Clinical attention should be paid to the prevention work to reduce the incidence of infection.

关 键 词：上消化道穿孔 腹腔镜修补术 感染 危险因素 

分 类 号：R656.6[医药卫生—外科学]