摘要
目的探讨肝癌患者术后感染的危险因素分析,为临床预防提供有效手段。方法选择2005年11月-2012年6月医院收治的肝癌患者120例,对所有患者填写统一制定的调查表,详细记录患者性别、年龄、基础病史,术前完善相关检验,对术后感染与未感染患者白细胞(WBC)、血红蛋白(Hb)、血小板(PLT)、中性粒细胞绝对值(N)进行对比分析。结果 120例肝癌患者术后发生肺部感染22例、腹腔感染5例、切口感染11例、泌尿系感染12例,感染率分别为18.33%、4.17%、9.17%、10.00%;患有糖尿病、年龄≥50岁、肿瘤直径≥3cm、白细胞降低、贫血均是患者术后感染的高危因素,差异有统计学意义(P<0.05);经对比,术后未感染患者的Hb、N、WBC显著高于术后感染患者,差异有统计学意义(P<0.05)。结论肝癌术后患者易发生感染,且感染种类较多,术后感染相关因素较多,应引起临床医师重视。
OBJECTIVE To investigate the risk factors of postoperative infection in patients with liver cancer,and to provide an effective method for clinical prevention.METHODS Totally 120 patients with liver cancer treated in Hangzhou City from Nov.2005 to Jun.2012 were selected.The unified retrospective questionnaire of the patient was completed to record gender,age and basic medical history in details.Preoperative examinations were completed and the infection group and the non-infected group were analyzed and compared on white blood cell count（WBC）,hemoglobin（Hb）and PLT（N）.RESULTS There were 22 cases of lung infection,5cases of abdominal infection,11 cases of incision infection and 12 cases of urinary infection in the 120 patients after operation,with the infection rate being 18.33%,4.17%,9.17%,and 10.00%respectively.Diabetes,age≥50years,cancer≥3cm,reduced WBC and anemia were all risk factors of postoperative infection.The comparison showed Hb,N,and WBC in the non-infected group was higher than in the infected patients,the difference was statistically significant（P〈0.05）.CONCLUSIONPatients with liver cancer are prone to infection.Clinicians should pay much attention as the infection types and the related factors of postoperative infection are various.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第12期2750-2752,共3页
Chinese Journal of Nosocomiology
基金
浙江省卫生厅基金资助项目(2013KYB105)
关键词
肝细胞癌
肝癌术后
感染
危险因素
Hepatocellular carcinoma
Post-operation of hepatocellular carcinoma
Infection
Risk factors
