| 食管癌术后切口感染及危险因素调查分析 |
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| 引用本文： | 范秋萍,徐敬,吴亚杰,范郑周.食管癌术后切口感染及危险因素调查分析[J].郑州大学学报(医学版),1999(4). |
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| 作者姓名： | 范秋萍 徐敬 吴亚杰 范郑周 |
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| 作者单位： | 河南医科大学第一附属医院!郑州4500522(范秋萍，徐敬，吴亚杰)，郑州市第一人民医院内科!郑州450052(范郑周) |
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| 摘 要： | 目的：探讨食管癌术后切口感染危险因素的分布及强度，为预防和控制术后切口感染提供科学依据。方法：对２３９ 例接受手术治疗的食管癌患者的一般情况，术前接受化疗和放疗、术中情况、术后体温、切口愈合情况等１２ 个因素进行回顾性调查，并将诸因素分为宿主、手术及诊疗因素３ 部分，采用ＳＡＳ软件进行单因素分析。结果：发现年龄、原有糖尿病、营养状况、手术时间、切口渗血渗液、发热、术前化疗、胸穿与术后切口感染有显著的联系，而性别、手术方式、术前放疗、术后预防用抗生素与其感染的发生无显著性差异。结论：做好充分的术前准备、加强营养、严格无菌技术操作、提高手术技术及术中止血、严密观察体温变化和切口愈合情况、合理应用抗生素并施之精心护理，对降低食管癌术后切口感染的发生有非常重要的意义
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| 关 键 词： | 食管癌 手术治疗 切口感染 危险因素 |
Analysis of risk factors of infection in cut of patients after performing an operation with esophageal carcinoma |
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| Abstract: | Aim:To investigate risk factors of infection in cut of patients after operation with esophageal carcinoma.Methods:239 patients after performing an operation with esophageal carinoma were investigated,12 risk factors (ordinary condition of patients,chemotherapeutics and actinotheraphy before operation,processing operation,body temperature after operation,etc.) were studied.With SAS the single factor analysis was processed. Results: To 7 factors (age when discovered esophageal carcinoma,suffering diabetes,operation time,effusion from cut,catchiy a fever,chemotherapeutics before operation,puncture on chest) there were significant relationships.Conclusion:Good preparation before operation,reinforting nutrition,strict asepsis,etc.are important to reduce infection rate. |
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| Keywords: | esophageal carcinoma operation infection in cut risk factor |
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