| 结直肠癌手术部位感染相关因素分析 |
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| 引用本文： | 阮燕萍,秦赟芳,郭良.结直肠癌手术部位感染相关因素分析[J].中华医院感染学杂志,2011,21(13):2691-2693. |
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| 作者姓名： | 阮燕萍 秦赟芳 郭良 |
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| 作者单位： | 浙江省肿瘤医院院感科,浙江,杭州,310022 |
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| 摘 要： | 目的探讨结直肠癌患者手术部位感染(SSI)的相关因素。方法回顾性调查2007年1月-2009年12月行结直肠癌择期手术的208例病例,并进行病例对照研究,采用单因素、多因素logistic回归分析的方法筛选与发生SSI相关的危险因素。结果大肠埃希菌是手术部位感染的主要病原菌,其中产超广谱β-内酰胺酶(ESBLs)的占88.24%;多因素分析显示,手术时间>3.5 h(P=0.001;OR=9.231)、术前空腹血糖>6.1 mmol/L(P=0.032;OR=2.555)、高密度脂蛋白<1.03 mmol/L(P=0.023;OR=2.098)是结直肠癌手术部位感染的危险因素,而腔镜手术(P=0.011;OR=0.092)则是保护因素。结论结直肠癌手术部位感染的主要病原菌是产ESBLs的大肠埃希菌,手术时间、术前空腹血糖、高密度脂蛋白和是否腔镜手术是SSI的影响因素。
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| 关 键 词： | 结直肠癌 手术部位感染 危险因素 |
Factors associated with surgical site infection in colorectal cancer patients |
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| RUAN Yan-ping,QIN Yun-fang,GUO Liang.Factors associated with surgical site infection in colorectal cancer patients[J].Chinese Journal of Nosocomiology,2011,21(13):2691-2693. |
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| Authors: | RUAN Yan-ping QIN Yun-fang GUO Liang |
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| Affiliation: | RUAN Yan-ping,QIN Yun-fang,GUO Liang(Zhejiang Cancer Hospital,Hangzhou,Zhejiang 310022,China) |
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| Abstract: | OBJECTIVE To investigate the factors associated with surgical site infection in colorectal cancer patients.METHODS From Jan 2007 to Dec 2009,clinical data of 208 patients underwent selective colorectal cancer operation were analyzed retrospectively.Risk factors for SSI were screened.RESULTS Escherichia coli was the main pathogenic bacteria from surgical site,the ESBL production rate was 88.24%.Multivariate logistic regression analysis revealed operative time >3.5h(P=0.001;OR=9.231),preoperative fasting plas... |
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| Keywords: | Colorectal cancer SSI Risk factors |
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