老年肿瘤患者的手术室高危因素分析

High risk factors in elderly patients with brain tumors in operation room

目的探讨老年肿瘤患者中的手术室高危因素。方法选取276例老年肿瘤患者,对其中41例术后恢复不佳患者进行危险因素分析。结果经Logistic回归分析后老年肿瘤患者手术室变量中有10个具有统计学意义,分别是手术时间、手卫生、消毒灭菌隔离、环境、手术室布局、手术间、术中应用抗生素、参观人数、侵袭性操作、术中开门次数;多危险因素有手术时间长、消毒灭菌隔离不彻底、术中未应用抗生素、参观人数多、侵袭性操作。结论老年肿瘤预后和手术时间长、消毒灭菌隔离不彻底、抗生素应用和操作布局等因素有关,护理中应及时应用抗生素,严格管理无菌化手术室。

Objective To investigate the risk factors of elderly brain tumor patients in the operating room. Methods A total of 276 elderly patients with brain tumors were selcted, risk factors of 41 cases with poor postoperative recovery were analyzed. Results Logistic regression analysis showed operative time, hand hygiene, sterilization isolation, environment, operating room layout, operating room, intraoperative use of antibiotics, the number of visitors, invasive operation, the number of open surgery were risk factors. Multivariate Logistic regression analysis showed longer surgery time, uncomplete sterilization, no use of antibiotics, more visit times, invasive procedures were risk factors. Conclusion The prognosis of elderly brain tumor patients are correlated with uncomplete sterization, antibiotic use and operation of arrangement. Timely application of antibiotics should strictly manage operating room.