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腹部手术患者术后感染的危险因素及营养状况研究。

Study on Risk Factors and Nutritional Status of Postoperative Infection in Patients Undergoing Abdominal Surgery.

机构信息

Department of Hepatobiliary Surgery, Wenzhou Central Hospital, The Second Affiliated Hospital of Shanghai University, Wenzhou 325000, China.

Department of Clinical Laboratory, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University, Wenzhou 325000, China.

出版信息

Contrast Media Mol Imaging. 2022 Jul 19;2022:8063851. doi: 10.1155/2022/8063851. eCollection 2022.

Abstract

In order to evaluate the risk factors of postoperative infection in patients undergoing abdominal surgery and the correlation with nutritional status, 143 patients admitted to our hospital for abdominal surgery from September 2020 to September 2021 are selected and analyzed. By collecting the clinical results and related pathological data of all patients, all patients are divided into the postoperative infection group (48 cases) and the noninfection group (95 cases) according to whether postoperative infection occurred. Firstly, the clinical data of the two groups are analyzed by univariate analysis. Secondly, the risk factors of postoperative infection in patients undergoing abdominal surgery are analyzed by binary logistic regression. Thirdly, the nutrition-related indexes are compared, and the correlation between postoperative infection and serum nutritional indexes is analyzed by the Spearman correlation coefficient. The results demonstrate that patients undergoing abdominal surgery have a certain risk of infection after surgery, and combination with underlying diseases is a risk factor for postoperative infection. In addition, poor preoperative nutritional status is also closely related to postoperative infection. It is suggested that serum PA and RBP indicators have certain predictive effects on postoperative infection.

摘要

为了评估腹部手术患者术后感染的危险因素及其与营养状况的相关性,选取我院 2020 年 9 月至 2021 年 9 月收治的 143 例腹部手术患者进行分析。通过收集所有患者的临床结果及相关病理资料,根据术后是否发生感染将所有患者分为术后感染组(48 例)和非感染组(95 例)。首先对两组患者的临床资料进行单因素分析,其次采用二项 logistic 回归分析腹部手术患者术后感染的危险因素,再次比较营养相关指标,采用 Spearman 相关系数分析术后感染与血清营养指标的相关性。结果表明,腹部手术患者术后存在一定的感染风险,合并基础疾病是术后感染的危险因素,此外,术前营养状况较差也与术后感染密切相关。提示血清 PA 和 RBP 指标对术后感染有一定的预测作用。

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