發(fā)布時間：2019-04-20 12:33

【摘要】：目的研究梗阻性黃疸患者經(jīng)皮經(jīng)肝膽道引流術(PTCD)術后發(fā)生膽道感染的相關因素。方法選取2014年10月-2016年10月在醫(yī)院接受治療的120例梗阻性黃疸患者為研究對象,采用PTCD治療,觀察比較并分析患者術后發(fā)生膽道感染的相關因素。結果 120例梗阻性黃疸患者術后發(fā)生膽道感染22例,感染率18.33%;對120例梗阻性黃疸患者基本資料進行研究,結果顯示年齡、術前黃疸天數(shù)、術前卡氏評分(KPS)、引流量、術前谷丙轉(zhuǎn)氨酶(ALT)、堿性磷酸酶(ALP)、總膽紅素(TBIL)等生化指標與術后出現(xiàn)膽道感染密切相關,差異有統(tǒng)計學意義(P0.05);其中術前黃疸天數(shù)過長、術前ALP指標水平過高是造成術后膽道感染的危險因素,術后引流良好是術后膽道感染的保護因素;性別、梗阻部位及引流方法均不影響術后膽道感染的發(fā)生,差異無統(tǒng)計學意義。結論梗阻性黃疸患者術后膽道感染的相關因素包括年齡、術前黃疸天數(shù)、術前KPS評分、引流量、術前ALT、ALP、TBIL等,其中造成術后膽道感染的危險因素主要包括術前黃疸天數(shù)過長、術前ALP指標水平過高,有效的引流能夠促進手術的順利實施,繼而降低術后膽道感染發(fā)生率,屬于術后膽道感染的保護因素。
[Abstract]:Objective to study the related factors of biliary tract infection after percutaneous transhepatic biliary drainage (PTCD) in patients with obstructive jaundice. Methods 120 patients with obstructive jaundice who were treated in hospital from October 2014 to October 2016 were selected and treated with PTCD. The related factors of postoperative biliary tract infection were compared and analyzed. Results there were 22 cases of biliary tract infection after operation in 120 cases of obstructive jaundice, the infection rate was 18.33%. The basic data of 120 patients with obstructive jaundice were studied. The results showed that age, days of preoperative jaundice, preoperative (KPS), drainage, preoperative glutamic pyruvic transaminase (ALT), alkaline phosphatase (ALP),. Total bilirubin (TBIL) and other biochemical indicators were closely related to postoperative biliary tract infection, the difference was statistically significant (P0.05); The long days of preoperative jaundice and the high level of preoperative ALP were the risk factors of postoperative biliary tract infection, and the good drainage after operation was the protective factor of postoperative biliary tract infection. Sex, site of obstruction and drainage method did not affect the occurrence of postoperative biliary tract infection, and there was no significant difference between the two groups. Conclusion the related factors of postoperative biliary tract infection in patients with obstructive jaundice include age, days of preoperative jaundice, preoperative KPS score, drainage volume, preoperative ALT,ALP,TBIL, and so on. The risk factors of postoperative biliary tract infection include long days of preoperative jaundice and high level of preoperative ALP. Effective drainage can promote the smooth implementation of the operation and then reduce the incidence of postoperative biliary tract infection, and the risk factors for postoperative biliary tract infection include long days before operation and high level of postoperative biliary tract infection. It belongs to the protective factor of postoperative biliary tract infection.
【作者單位】： 寧波市第二醫(yī)院肝膽胰科;
【分類號】：R575

【相似文獻】

相關期刊論文 前10條

1 李占飛,尹燕華,白祥軍,鄒聲泉,裘法祖;髓系細胞觸發(fā)受體1在膽道感染患者中的表達[J];中國普通外科雜志;2004年07期

2 高勤革,花天放,韓松;老年人膽道感染85例臨床分析[J];中國抗感染化療雜志;2004年03期

3 焦月,張澍田;膽道感染的病因、診斷與治療[J];現(xiàn)代消化及介入診療;2005年01期

4 崔玲;張全軍;;中西醫(yī)結合治療膽道感染56例療效觀察[J];中國社區(qū)醫(yī)師(醫(yī)學專業(yè));2012年36期

5 于中麟,許幟標;膽道感染的治療[J];實用內(nèi)科雜志;1989年02期

6 赫洪太;67例老年人膽道感染臨床分析[J];實用老年醫(yī)學;1996年01期

7 牛應林;張澍田;于中麟;陳曦;孟凡冬;;診斷和治療性胰膽管造影并發(fā)膽道感染的危險因素和防治[J];臨床內(nèi)科雜志;2006年07期

8 姚俊;許亞平;孟鑫;薛翠華;周春鎖;付白清;;114例膽道感染患者膽汁細菌培養(yǎng)分析[J];臨床內(nèi)科雜志;2006年10期

9 朱理輝;李國慶;張t ;王正根;;慢性乙型重型肝炎并發(fā)膽道感染35例臨床分析[J];實用肝臟病雜志;2011年06期

10 徐克成;膽道感染的實驗室診斷[J];新醫(yī)學;1992年11期

相關會議論文 前3條

1 鄧筱;朱棟;;膽道感染與膽石癥的住院費用與影響因素分析[A];第二十屆航天醫(yī)學年會暨第三屆航天護理年會論文匯編[C];2004年

2 葉國良;陳會松;盛紅;程德希;;膽石癥并膽道感染患者膽汁與血細菌培養(yǎng)比較及藥敏分析[A];2005年浙江省消化系疾病學術會議論文匯編[C];2005年

3 葉國良;陳會松;盛紅;程德希;;膽石癥并膽道感染患者膽汁與血細菌培養(yǎng)比較及藥敏分析[A];2006華東地區(qū)消化病學學術大會論文匯編（浙江省分冊）[C];2006年

相關碩士學位論文 前1條

1 于又曦;膽道感染患者膽汁病原菌分布及藥敏分析[D];吉林大學;2015年

，

本文編號：2461607