普外科Ⅰ类手术术后切口感染危险因素logistic回归分析

发布时间：2019-07-11 12:35

【摘要】：目的分析普外科Ⅰ类手术术后切口感染的相关危险因素,为临床预防感染提供参考。方法选取2011年1月-2017年2月医院普外科行无菌手术患者11125例,对手术术后切口感染的相关危险因素进行单因素与多因素回归分析,以确定引起普外科Ⅰ类手术术后切口感染的危险因素。结果 11125例普外科Ⅰ类手术术后发生切口感染97例,感染率为0.87%;单因素分析显示,恶性肿瘤、糖尿病史、BMI值(≥25kg/m~2)、手术方式(开放)、切口大小(≥10cm)、手术时间(≥1h)、出血量(≥500ml)、切口引流、切口渗血、血红蛋白浓度(90g/L)、血清白蛋白浓度(30g/L)、血糖(≥10mmol/L)均是普外科Ⅰ类手术术后切口感染的相关危险因素(P0.05),其中血糖(≥10mmol/L)、手术方式(开放)、手术时间(≥1h)、切口引流、切口渗血、血清白蛋白浓度(30g/L)、血红蛋白浓度(90g/L)、BMI值(≥25kg/m~2)等是普外科Ⅰ类手术术后切口感染的独立危险因素(P0.05)。结论普外科Ⅰ类手术术后切口感染与多个危险因素有关,临床首先应做好术前准备,控制血糖、纠正低蛋白血症与贫血;其次尽量采用微创治疗手段,缩短手术时间;再次是术中彻底止血,减少不必要的引流,关注肥胖患者切口情况等为主的综合措施,是有效降低普外科Ⅰ类手术术后切口感染的方法。
[Abstract]:Objective to analyze the risk factors of incision infection after class I surgery in general surgery, and to provide reference for clinical prevention of infection. Methods 11125 patients undergoing aseptic surgery in general surgery from January 2011 to February 2017 were selected. The risk factors of postoperative incision infection were analyzed by univariate and multivariate regression analysis in order to determine the risk factors of postoperative incision infection in general surgery. Results there were 97 cases of incision infection in 11125 cases of general surgery, the infection rate was 0.87%. Univariate analysis showed that malignant tumor, history of diabetes mellitus, BMI value (鈮，

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