胆结石患者术后医院感染的危险因素分析

摘要

Objective To investigate the risk factors of postoperative hospital infection of gallstone patients.Methods The study enrolled 193 cases of gallstone patients who underwent operation in hospital and the patients fell into two groups according to hospital infection:83 cases of postoperative hospital infection and 110 cases of postoperative non hospital infected at the same time as control.The gender,age,smoking,drinking and operation condition were compared between two groups.Results Compared with non hospital infected group,the age above 60 years old,BMI over 25.0,drinking,smoking,the length of incision ≥ 15 cm,operation time over 2 h, hospital stay over 10 days,blood lose over 200 mL,over 3 kinds of antibiotics being administrated and bilirubin > 17.1 μmol/L were highly closed with postoperative infection.Conclusion Risk factors of gallstone postoperative hospital infection should be prevented and controlled and combined with measures of hospital infection management to reduce the incidence of gallstone postoperative infection.%目的：分析胆结石患者术后医院感染的危险因素。方法收集接受手术的胆结石患者193例，其中83例为术后住院期间感染，110例为同期术后住院期间未感染的患者。收集2组患者的年龄、性别、吸烟、喝酒和手术状况的相关参数进行比较。结果与未感染组比，感染组的年龄≥60岁、体质量指数≥25．0、饮酒、吸烟、切口长度≥15 cm、手术时间≥2 h、住院时间≥10 d、手术出血量＞200 mL、术后使用抗生素种类≥3种和胆红素＞17．1μmol／L为胆结石术后院内感染的高危因素。结论预防和控制导致胆结石术后感染的危险因素，同时加强控制医院感染各项措施的管理，有助于减少院内感染的发生。