摘要
目的分析肝胆术后患者腹腔感染细菌学临床因素及预防控制措施。方法对78例肝胆术后患者腹腔细菌感染进行回顾性分析,探讨患者发生腹腔细菌感染的临床因素。结果肝胆术后患者腹部感染的细菌主要以大肠埃希菌、粪肠球菌、肺炎克雷伯杆菌为主;经过分析有10项临床因素相关,其中有3项与腹部细菌感染的发病有显著性关系,多因素Logistic回归分析有手术持续时间(P=0.038)、静脉插管留置时间(P=0.030)、术后使用呼吸机时间(P=0.013)3个因素为细菌感染的独立危险因素。结论针对腹部细菌感染的临床因素,采取切实可行的预防措施,如手术技巧的提高、缩短手术持续时间,缩短呼吸机使用时间和静脉置管时间,对降低肝胆术后腹部细菌感染具有重要的意义。
Objective To analyze the clinical factors associated with intra-abdominal bacterial infection after hepatobiliary surgery,and to develop the appropriate prevention and control meas-ures.Methods Clinical data of 78 patients with intra-abdominal bacterial infection after hepato-biliary surgery were retrospectively analyzed,and clinical factors associated with intra-abdominal bacterial infection were investigated.Results Escherichia coli,Enterococcus faecalis and Klebsiel-la pneumoniae mainly contributed to the intra-abdominal bacterial infection.Among the 10 clinical factors associated with intra-abdominal bacterial infection,3 factors were significantly correlated with the pathogenesis of intra-abdominal bacterial infection.After matching,logistic regression a-nalysis showed that operation duration (P =0.038),venous catheter indwelling time (P =0.030) and postoperative ventilation time (P =0.013)were the independent risk factors for bacterial in-fection.Conclusion According to the clinical factors,feasible preventive measures,such as impro-ving surgical techniques and shortening operation duration,venous catheter indwelling time and ventilation time,should be taken to reduce the intra-abdominal bacterial infection after hepatobili-ary surgery.
出处
《实用临床医学（江西）》
CAS
2015年第5期22-24,共3页
Practical Clinical Medicine
关键词
肝胆手术
腹腔感染
临床因素
hepatobiliary surgery
intra-abdominal infection
clinical factors
