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接受腹腔镜胆囊切除术的糖尿病和非糖尿病患者的手术部位感染

Surgical Site Infection in Diabetic and Non-Diabetic Patients Undergoing Laparoscopic Cholecystectomy.

作者信息

Ismat Usman, Khan Ahsan, Nawaz Allah, Mansoor Rashid, Malik Awais Amjad, Sher Falak, Ayyaz Mahmood

机构信息

Department of General Surgery, Surgical Unit II, Services Hospital, Lahore.

出版信息

J Coll Physicians Surg Pak. 2016 Feb;26(2):100-2.

PMID:26876394
Abstract

OBJECTIVE

To compare the frequency of surgical site infections in patients with type II diabetes undergoing laparoscopic cholecystectomy as compared with non-diabetic patients.

STUDY DESIGN

Cohort study.

PLACE AND DURATION OF STUDY

Surgical Unit 2, Services Hospital, Lahore, from May to October 2012.

METHODOLOGY

Patients were divided into two groups of 60 each, undergoing laparoscopic cholecystectomy. Group A comprised non-diabetic patients and group B comprised type II diabetic patients. Patients were followed postoperatively upto one month for the development of SSIs. Proportion of patients with surgical site infections or otherwise was compared between the groups using chi-square test with significance of p < 0.05.

RESULTS

In group A, 35 patients were above the age of 40 years. In group B, 38 patients were above the age of 40 years. Four patients in group Adeveloped a surgical site infection. Seven patients in group B developed SSIs (p = 0.07).

CONCLUSION

Presence of diabetes mellitus did not significantly affect the onset of surgical site infection in patients undergoing laparoscopic cholecystectomy.

摘要

目的

比较接受腹腔镜胆囊切除术的II型糖尿病患者与非糖尿病患者手术部位感染的发生率。

研究设计

队列研究。

研究地点和时间

2012年5月至10月,拉合尔服务医院外科2病房。

方法

将患者分为两组,每组60例,均接受腹腔镜胆囊切除术。A组为非糖尿病患者,B组为II型糖尿病患者。术后对患者进行为期一个月的随访,观察手术部位感染的发生情况。采用卡方检验比较两组患者手术部位感染或未感染的比例,p < 0.05为有统计学意义。

结果

A组中,35例患者年龄在40岁以上。B组中,38例患者年龄在40岁以上。A组有4例患者发生手术部位感染。B组有7例患者发生手术部位感染(p = 0.07)。

结论

糖尿病的存在对接受腹腔镜胆囊切除术患者手术部位感染的发生没有显著影响。

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