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肝癌患者肝脏部分切除术后感染的影响因素分析

发布时间:2018-11-11 13:29
【摘要】:目的探究肝癌患者肝脏部分切除术后感染发生的影响因素。方法选取2015年1月-2017年6月医院收治的400例行部分肝脏切除术的肝癌患者为研究对象,按照术后是否发生感染分为感染组98例和未感染组302例;分析比较两组患者的临床基本资料,术前检查结果及手术过程指标。结果与未感染组相比,感染组患者中年龄≥60岁、合并糖尿病、白蛋白含量35g/L的概率高于对照组(P0.05);感染组患者的手术时间≥300min、术中出血量≥400mL、引流管放置时间≥7d的构成比高于未感染组(P0.05);多因素Logistic回归分析结果显示,患者年龄、术前糖尿病史、低白蛋白水平、手术时间、术中出血量及引流管放置时间能够影响肝癌患者肝脏部分切除术后并发感染(P0.05)。结论肝癌患者部分肝脏切除术后并发感染的相关因素较多,对影响因素给予相应的预防措施,对减少术后感染的发生,有一定的作用。
[Abstract]:Objective to investigate the influencing factors of infection after partial hepatectomy in patients with liver cancer. Methods 400 patients with liver cancer treated in hospital from January 2015 to June 2017 were divided into infected group (n = 98) and uninfected group (n = 302) according to whether infection occurred after operation. The clinical data, preoperative examination results and surgical procedure indexes were analyzed and compared between the two groups. Results compared with the uninfected group, the probability of 35g/L in the infected group was higher than that in the control group (P0.05). The composition ratio of operation time 鈮,

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