摘要
目的探讨回肠代膀胱术后造瘘口感染的原因,并对其提出相应的干预措施,为其临床防治提供依据。方法采用回顾性分析收集2011年1月-2013年2月入住医院泌尿外科行回肠代膀胱术治疗的膀胱癌患者120例,根据其造瘘口是否发生感染分为感染组与非感染组两组,应用多因素回归分析进行多因素分析,采用SPSS12.0软件进行统计分析。结果 120例患者中有10例患者发生造瘘口感染,感染率为8.3%;感染组长期卧床8例占80.0%,糖尿病史7例占70.0%,抗菌药物使用7例占70.0%,而非感染组长期卧床39例占35.5%,糖尿病史42例占38.2%,抗菌药物使用40例占36.4%,感染组明显高于非感染组,差异有统计学意义(P<0.05);感染组血清白蛋白(29.1±3.1)g/L明显低于非感染组的(36.9±4.1)g/L,两组比较差异有统计学意义(P<0.05);多因素分析结果表明,糖尿病史及血清白蛋白水平低下是造瘘口感染发生的独立危险因素。结论造瘘口感染的发生与糖尿病史及血清白蛋白水平低下存在密切的相关性,临床工作中需要积极给予相应的护理,避免感染的发生。
OBJECTIVE To explore the causes of fistula mouth infections after ileum generation bladder surgery and put forward corresponding intervention measures so as to guide the clinical prevention and treatment. METHODS A total of 120 bladder cancer patients. who underwent the ileum generation bladder surgery in the department of urology from Jan 2011 to Feb 2013. were enrolled in the study and divided into the infection group and the noninfection group according to the status of fistula mouth infections. the multivariate, regression analysis was performed. and the statistical analysis was conducted with the use of SPSS12. 0 software. RESULTS Of the 120 patients investigated. the fistula mouth infections occurred in 10 cases with the infection rate of 8. 3%. In the infection group. there were 8 （80.0%） cases of long bedridden. 7 （70.0%） cases with history of diabetes. and 7 （70.0%） cases with use of antibiotics; in the non-infection group, there were 39 （35.5%） cases of long bedridden. 42 （38.2%） cases with history of diabetes. and 40 （36.4%） cases with use of antibiotics. the infection group was significantly higher than the non-infection group. the difference was statistically significant （P〈 0. 05）. The serum albumin level of the infection group was （29. 1±3.1） μL. significantly lower than （36. 9±4.1） g/L of the noninfection group. the difference between the two groups was statistically significant（P〈0. 05）. The result of the multivariate analysis indicated that the history of diabetes and the low level of serum albumin were the independent risk factors for the fistula mouth infections. CONCLUSION The incidence of fistula mouth infections is closely related to the history of diabetes and the low level of serum albumin; it is necessary for the hospital to perform corresponding nursing so as to prevent the infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第5期1225-1226,1229,共3页
Chinese Journal of Nosocomiology
基金
唐山市科学技术研究与发展计划基金项目(10320308)
关键词
回肠代膀胱术
感染
危险因素
多因素分析
Ileum generation bladder surgery
Infection
Risk factor
Multivariate analysis
