感染评分及小野寺指数在老年结直肠癌术后感染及预后评估中的应用价值

发布时间：2019-08-06 21:36

【摘要】：目的探讨感染评分及小野寺指数在老年结直肠癌术后感染及预后评估中的应用价值,为术后感染的防治及预后评估提供参考依据。方法选取2013年1月-8月在医院行手术治疗的老年结直肠癌患者163例,术前计算感染评分及小野寺指数;观察患者术后感染情况,追踪随访患者生存率。结果术后感染患者37例,感染率为22.70%,以呼吸道感染为主,共17例占45.94%;患者术后1年时随访到患者152例,生存132例,生存率86.84%;3年时随访到患者102例,生存64例,生存率为62.75%;术前小野寺指数营养良好与营养不良患者术后1年生存率分别为95.74%、72.41%,3年生存率分别为79.03%、37.50%,比较差异有统计学意义(P0.05)。结论感染评分高及小野寺指数值低的老年结直肠癌术后感染风险明显增高,感染评分对术后生存时间无影响,小野寺指数值用于患者预后评估有一定价值。
[Abstract]:Objective to investigate the value of infection score and Onosi index in postoperative infection and prognosis evaluation of elderly colorectal cancer, and to provide reference for prevention and treatment of postoperative infection and prognosis evaluation. Methods 163 elderly patients with colorectal cancer who underwent surgical treatment in hospital from January to August 2013 were selected. The infection score and Onosi index were calculated before operation, and the postoperative infection was observed and the survival rate of the patients was followed up. Results there were 37 patients with postoperative infection (22.70%), 17 patients (45.94%) were mainly respiratory tract infection, 152 patients were followed up one year after operation, 132 patients survived, the survival rate was 86.84%, 102 patients were followed up at 3 years, 64 patients survived, the survival rate was 62.75%. The 1-year survival rate of patients with good nutrition and malnutrition before operation was 95.74%, 72.41%, and the 3-year survival rate was 79.03% and 37.50%, respectively. the difference was statistically significant (P 0.05). Conclusion the postoperative infection risk of colorectal cancer in the elderly with high infection score and low Ono index value is significantly increased. The infection score has no effect on the postoperative survival time. The Ono Temple index value has certain value in evaluating the prognosis of the patients.
【作者单位】：重庆医科大学附属第一医院胃肠外科;重庆医科大学附属第一医院护理部;
【基金】：重庆市沙坪坝区决策与管理创新基金资助项目(jc201506)
【分类号】：R735.34

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