肝部分切除患者术后并发感染的相关影响因素分析

摘要

Objective To analysis the risk factor of partial hepatectomy patients postoperative complications infection, and to explore the measures of prevention and control. Methods 420 cases of partial hepatectomy patients were retrospective analysised,the related indexes such as smoking history,chronic respiratory disease history,preoperative hypoalbuminemia, preoperative hospitalization time,operation time,endotracheal intubation time,lien nasogastric tube time,and breathing machine use time between concurrent infection group and not concurrent infection group. Results In the concurrent infection group patients,the percentage of smoking patients was 46.81%,the percentage of patients with chronic respiratory dis ease history was 56.38%,the percentage of preoperative hypoalbuminemia patients was 23.40%; the concurrent infection group patients,the preoperative hospital stay time was (7.57±1.21) d,the operation time was (174.40±32.25) min,the intraoperative endotracheal intubation time was (162.19±17.89) min,the postoperative indwelling nasogastric tube time was (10.76±3.47) d,the postoperative respiratory machine use time was (4.78±2.04) d,which were greater than those of not concurrent infection group,the comparative differences were statistical significance (P<0.05).Conclusion The smoking history,chronic lung disease history,preoperative hypoalbuminemia,longer preoperative hospitalization period, longer surgical time,longer intraoperative endotracheal intubation time,the longer remaining nasogastric tube time and use of breathing machine time are related risk factors of liver cancer patients with postoperative pulmonary infection.%　　目的分析肝部分切除患者术后并发感染的相关危险因素，探讨其防治措施。方法回顾性分析420例行肝部分切除术患者的临床资料，分析比较吸烟史、慢性呼吸道疾病史、术前低蛋白血症、术前住院时间、手术时间、气管插管时间、留置鼻胃管时间、呼吸机使用时间等指标。结果并发感染组患者有吸烟史占46.81%，有慢性呼吸道疾病史占56.38%，术前低蛋白血症占23.40%，均高于未并发肺部感染组，比较差异有统计学意义（P<0.05）；并发感染组患者术前住院时间（7.57±1.21）d，手术时间（174.40±32.25）min，术中气管插管时间（162.19±17.89）min，术后留置鼻胃管时间（10.76±3.47）d，术后呼吸机使用时间（4.78±2.04）d，均大于未并发感染组，比较差异有统计学意义（P<0.05）。结论吸烟史、慢性呼吸道疾病史、术前低蛋白血症、术前住院时间较长、手术时间较长、术中气管插管时间较长、术后长时间留置鼻胃管时间和使用呼吸机，均是肝部分切除患者术后并发感染的相关危险因素。