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目的探讨手术治疗的胃肠肿瘤患者发生术后切口感染的危险因素。方法选择我院2014年10月至2015年10月收治的胃肠肿瘤患者196例,所有患者均行手术治疗,回顾性分析患者临床资料,统计术后切口感染患者,并总结分析引起切口感染的危险因素。结果经Logistic回归分析发现,性别、年龄、肿瘤类型、切口类型、抗菌药物使用情况、手术时间及手术入侵性操作等因素是引起切口感染的危险因素。且切口类型、抗菌药物使用情况、手术时间及手术入侵性操作是最主要的危险因素。结论针对行手术治疗的胃肠肿瘤患者来说,要注重患者的肿瘤类型,根据实际情况行手术治疗、抗菌药物使用,避免手术时间过长及过多的手术入侵性操作,有效降低危险因素,减少术后切口感染的几率。
Objective To investigate the risk factors of postoperative incision infection in patients with gastrointestinal tumors undergoing surgery. Methods A total of 196 patients with gastrointestinal cancer who were admitted to our hospital from October 2014 to October 2015 were enrolled in this study. All patients underwent surgical treatment. The clinical data of patients were retrospectively analyzed. Incision infection was calculated and the incisional infection was analyzed. Risk factors. Results Logistic regression analysis showed that sex, age, tumor type, incision type, antimicrobial use, operation time and invasive operation were the risk factors for wound infection. And incision type, the use of antibiotics, operation time and invasive surgical operation are the most important risk factors. Conclusions For patients with gastrointestinal tumors undergoing surgical treatment, we should pay attention to the type of tumor patients, according to the actual situation of surgical treatment, the use of antimicrobial agents, to avoid surgery time is too long and too much invasive surgical operation, effectively reduce the risk factors, Reduce the chance of incision infection.