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目的分析消化道肿瘤患者术后感染的相关因素,探讨对应的处理措施,为临床预防术后感染提供参考依据。方法按照入排标准选择2012年3月-2015年3月1 049例消化道肿瘤无远处转移的患者,选定相关因素变量,进行回顾性分析,并进行单因素和多因素分析。结果发生术后感染76例,感染率为7.24%;多因素logistic分析显示,手术时间≥3h、术前白蛋白水平<30g/L、ASA分级<Ⅱ级、术前化疗是患者发生消化道肿瘤术后感染的独立危险因素(P<0.05)。结论增加患者术前的机体和心理准备,改善手术室人员管理,增加科室间配合,通过减少手术时间降低术后感染的发生。
Objective To analyze the related factors of postoperative infection in patients with gastrointestinal cancer and to explore the corresponding treatment measures to provide reference for clinical prevention of postoperative infection. Methods According to the criteria of admission, from March 2012 to March 2015, 1 049 patients without digestive tract tumors without distant metastasis were selected and related variables were selected for retrospective analysis and univariate and multivariate analysis. Results The postoperative infection occurred in 76 cases and the infection rate was 7.24%. Multivariate logistic analysis showed that the operation time was ≥3 hours, preoperative albumin level was <30g / L, ASA grade was <Ⅱ grade, preoperative chemotherapy was the occurrence of gastrointestinal cancer Independent risk factors for postoperative infection (P <0.05). Conclusions Increasing the preoperative physical and psychological preparation, improving the management of operating room staff, increasing the inter-departmental cooperation and reducing the postoperative infection by reducing the operation time.