【摘要】 目的探讨引起急性阑尾炎术后切口感染相关因素。方法回顾性调查52例急性阑尾炎手术切口患者与768例无感染患者的临床资料,对可能影响切口感染的因素资料进行单因素分析与Logistic回归分析。结果单因素分析共筛选出15个因素与切口感染有关;经过Logistic回归分析麦氏切口、体质量指数高、手术时间长、阑尾逆行切除、化脓坏疽穿孔阑尾炎OR值分别为3.124、2.875、2.782、2.329、2.634,为切口感染的相关因素。结论急性阑尾炎术后切口感染是多因素综合作用的结果,通过预防与控制切口感染措施,减少与控制急性阑尾炎术后切口感染的发生率。更多还原

【Abstract】 OBJECTIVE To explore the causes of postoperative wound infection in acute appendicitis and its related factors. METHODS The clinical data of 52 cases of acute appendicitis with surgical incision and 768 non-infected cases were analyzed,by single-factor analysis and Logistic regression analysis for the related factors of infection. RESULTS By single-factor analysis there were 15 factors related to the incision infection ; and by Logistic regression analysis the OR value of Michael’s incision,high body mass index,long operation time,appendix retrograded removing,and suppurative gangrenous perforated appendicitis was 3.124,2.875,2.782,2.329 and 2.634,respetively. They were the related factors of incision ifnection. CONCLUSIONS Postoperative wound infection in acute appendicitis can be caused by multi-factors. By prevention and control measures the infection can be controled and reduced.更多还原