易勇

【摘要】目的：探讨胃肠道手术患者切口感染的相关因素，为制定合理措施预防术后切口感染提供参考依据研究。方法：回顾性分析2017年7月至2019年12月北海市第二人民医院收治的1519例胃肠道手术患者的临床资料，采用单因素和多因素logistic回归分析胃肠道手术后发生切口感染的相关危险因素。结果：1519例胃肠道手术患者中，切口感染63例，切口感染率为4. 15%。胃肠道手术患者切口感染与术中失血量、血红蛋白（Hb）、血清白蛋白（ Alb）、手术时机、手术方式、切口等级有关（P<0.05），与患者年龄、性别、手术部位、手术时间、合并糖尿病、合并高I血压及吸烟无关（P>0.05）。多因素logistic回归分析结果显示，手术时机、切口等级、手术方式、术中失血量、Hb及Alb是影响胃肠道手术患者切口感染的相关因素（P<0.05）。结论： 手术时机、切口等级、手术方式、术中失血量、Hb及Alb水平是影响胃肠道手术患者切口感染的相关因素。

【关键词】胃肠道手术;切口感染;相关因素;腹腔镜

【中图分类号】R656 【文献标识码】A 【DOI】10.12332/j.issn.2095-6525.2021.11.004

【Abstract】Objective：To analyze the related factors ofincision infecti：m. in patients undergoing gastroenteric operation and to provide reference basis for formulating reasonable measures to prevent postoperative incision infection. Methods：Beihai Second PeopIes HospitaIAdmiaaion1519 patients with gastroenteric operation in the First Affiliated Hospital of TheSecond PeopIe’SHospitaI OfBeihai Guangxi from July 2017 to December 2019 were analyzed respectively. Univariate logistic regression and multivariate logistic regression were used to analyze the risk factors of incision infection after gastroenteric operation. Results：A total of 63 cases among 1519 patients had incision ird'ections and the infection rate was 4. 15010 . Incision infection in the patients undergoing gastrointestinal surgery was related to intraoperative blood loss，hemoglobin（ Hb） ，albumin（ Alb） ，operation opportunity，operation method and incision grade （P < 0. 05 ） ， but was not related to age， gender， operation site， operation time， diabetes mellitus， hypertension and smoking （ P > 0. 05 ）. Multivariate logistic regression analysis  showed that operation opportunity，incision grade， operation method，intraoperative blood loss， Hb and Alb were related factors influencing incision infection in patients undergoing gastrointestinal surgery （ P < 0. 05） . Conclusion：Operation opportunity，incision grade，operation method，intraoperative blood loss，Hb and Alb levels are related factors affecting incision infection in patients undergoing gastrointestinal surgery.

【Key words】gastroenteric operation;incision idection;related factor;laparoscope

切口感染是胃肠道手术后最常见的并发症。已有研究显示，胃肠道手术相对清洁手术切口感染率高，部分污染手术切口感染率更高，即使在围术期给予抗菌药物预防、严格无菌操作，仍然无法完全避免术后切口感染[1]。胃肠道疾病术后可因切口感染而影响患者恢复，严重者可致全身感染和多器官功能障碍，甚至死亡[2]。手术切口感染与多种因素有关，对其危险因素进行分析并采取针对性的干预措施，可有效控制術后切口感染的发生，以确保手术患者的住院安全与术后恢复。……