肝移植术后腹腔感染的相关危险因素分析

Risk factors of abdominal infection after liver transplantation

  • 摘要: 目的 探讨同种异体原位肝移植术后腹腔感染的相关危险因素,以指导临床识别高危患者,预防腹腔感染发生。方法 回顾性分析北京朝阳医院2013年1月-2017年12月连续298例行同种异体肝移植术患者的临床资料,筛选出术后腹腔感染的患者,分为感染组和对照组,对两组一般资料、围术期指标和腹腔感染的相关危险因素进行分析。结果 本组腹腔感染发生率为15.4%(46/298),其中4例因腹腔感染死亡,腹腔感染相关死亡率为8.7%(4/46)。多因素分析结果显示,因良性疾病移植OR(95%CI),2.778(1.300,5.917)、术前存在糖尿病OR(95%CI),2.590(1.199,5.594)和腹水OR(95%CI),2.920(1.301,6.555)是术后发生腹腔感染的独立危险因素(P均<0.05)。结论 因良性疾病移植、术前存在糖尿病和腹水是肝移植患者术后发生腹腔感染的主要危险因素。

     

    Abstract: Objective To investigate the risk factors of abdominal infection after liver transplantation. Methods Clinical data about 298 patients who underwent liver transplantation in Beijing Chaoyang Hospital from January 2013 to December 2017 were retrospectively analyzed. According to the inclusion criteria, patients were divided into two groups: infection group and control group. The general data, perioperative indicators and abdominal infection were statistically analyzed. Results Abdominal infection occurred in 46 cases with incidence rate of 15.4%. Four patients(8.7%) died of abdominal infection. Multivariate analysis showed that malignant disease, diabetes and ascites before operation were independent risk factors of infection(all P<0.05). Conclusion Benign disease OR(95% CI), 2.778(1.300, 5.917), diabetes OR(95% CI),2.590(1.199, 5.594) and ascites OR(95% CI), 2.920(1.301, 6.555) before operation are the main risk factors of abdominal infection after liver transplantation.

     

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