急性阑尾炎患者术后感染的危险因素分析及预防对策

Analysis on Risk Factors of Postoperative Infection in Patients with Acute Appendicitis and Its Preventive Measures

目的:分析急性阑尾炎患者术后感染的危险因素,并探寻有效的预防对策。方法:选取2018年3月—2020年3月医院收治的急性阑尾炎患者80例资料,根据有无感染发生分为感染组、非感染组;比较2组患者的一般临床资料,分析急性阑尾炎患者术后感染的独立危险因素。结果:感染组患者的白蛋白水平低于非感染组(P<0.05),感染组患者的年龄、白细胞计数、C反应蛋白、糖尿病发生率水平高于非感染组(P<0.05);经单因素分析结果显示,年龄、病程、白细胞计数、病理类型、手术时间、切除方法、切口类型是急性阑尾炎患者术后发生感染的危险因素(P<0.05);经多因素分析结果显示,年龄、病程、白细胞计数、病理类型、手术时间、切除方法、切口类型是急性阑尾炎患者术后发生感染的独立危险因素(P<0.05)。结论:急性阑尾炎患者发生术后感染的危险因素较多,临床及时采取有效的措施可以降低感染的发生率。

Objective:To analyze the risk factors of postoperative infection in patients with acute appendicitis and explore effective preventive measures.Methods:Data of 80 patients with acute appendicitis admitted to author's hospital from March 2018 to March 2020 were selected,and they were divided into infected group and non-infected group according to the occurrence of infection.The main clinical data of patients in the two groups were compared,and the independent risk factors of postoperative infection in patients with acute appendicitis were analyzed.Result:The level of albumin of infected group was lower than that of non-infected group(P<0.05),and the levels of age,white blood cell count,C-reactive protein and incidence of diabetes in infected group were higher than that in non-infected group(P<0.05).The results of univariate analysis showed that age,course of disease,white blood cell count,pathological type,operation time,resection method and incision type were the risk factors for postoperative infection in patients with acute appendicitis(P<0.05).The results of multivariate analysis showed that age,course of disease,white blood cell count,pathological type,operation time,resection method and incision type were independent risk factors for postoperative infection in patients with acute appendicitis(P<0.05).Conclusion:There were many risk factors of postoperative infection in patients with acute appendicitis,and timely and effective clinical measures could reduce the incidence of infection.