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目的探讨阑尾炎合并糖尿病患者手术切除后切口感染的相关危险因素。方法回顾性分析我院2009年1月至2012年2月诊治合并糖尿病的急性阑尾炎患者85例,单因素和多因素logistic回归分析术后并发切口的可能危险因素。结果切口感染的总发生率为14.12%(12/85),单因素分析结果表明患者年龄、肥胖、术前和术后血糖水平、手术时间、阑尾炎类型是伤口感染的相关危险因素(P<0.05),logistic回归分析结果显示患者术前和术后血糖水平和阑尾炎类型是切口感染的独立危险因素。结论严格掌握阑尾炎手术的适应证,控制术前术后血糖,可减少切口感染的发生。
Objective To investigate the risk factors associated with incisional wound infection in patients with appendicitis and diabetes mellitus. Methods A retrospective analysis of 85 cases of acute appendicitis diagnosed with diabetes mellitus in our hospital from January 2009 to February 2012 was performed. Univariate and multivariate logistic regression analysis was used to analyze the possible risk factors for postoperative complications. Results The incidence of incisional wound infection was 14.12% (12/85). The univariate analysis showed that age, obesity, preoperative and postoperative blood glucose levels, operation time and appendicitis were the risk factors of wound infection (P <0.05 ). Logistic regression analysis showed that preoperative and postoperative blood glucose levels and appendicitis types were independent risk factors for incisional infection. Conclusion Strict control of appendicitis indications of surgery, control of postoperative blood sugar, can reduce the incidence of incision infection.