小肠梗阻术后感染性并发症危险因素分析

目的 讨论小肠梗阻术后感染性并发症的危险因素,以减少术后感染.方法 回顾分析2006年1月-2012年12月于首都医科大学宣武医院接受手术治疗的154例小肠梗阻患者的临床资料.Logistic回归分析术后感染性并发症的独立危险因素.结果 154例小肠梗阻患者接受手术治疗,术后感染率27.9％.回归分析发现,患者年龄（≥65岁）（OR 6.71,95％ CI3.15 ～ 16.33）、术中肠管破裂（OR2.71,95％CI1.19～7.25）、延迟（≥72 h）手术（OR 11.33,95％ CI 4.62 ～ 20.20）及手术时间（≥180 min）（OR 2.90,95％CI 1.26 ～9.83）是影响感染性并发症发生的危险因素.结论 术后感染是小肠梗阻术后的常见并发症.早期手术、术中轻柔操作防止肠管破裂可能是减少术后感染的有效措施.

Risk factors for postoperative infectious complications for small bowel obstruction

Objective To determine risk factors for postoperative infectious complications for small bowel obstruction.Methods Retrospective analysis the clinical data from small bowel obstruction patients who admittedto our hospital between January 2006 and December 2012 who receiving surgical treatment.The independent risk factors for infective complications were detected by logistic analysis.Results One hundred and fifty-four patients received surgery for small bowel obstruction with infection rate 27.9%.Logistic analysis revealed that older people（≥65 years） （OR 6.71,95% CI 3.15-16.33）,intraoperative bowel rupture （OR 2.71,95% CI 1.19-7.25）,delay surgery（≥72 h）（OR 11.33,95%CI4.62-20.20） and operation time（≥180 min） （OR 2.90,95% CI 1.26-9.83） were the independent risk factors for postoperative infective complications.Conclusions Postoperative infections were the common complications after surgery for small bowel obstruction.Early surgery,intraoperative soft operation to prevent bowel rupture may be effective measures to reduce postoperative infection.