脾切除术后并发肺部感染的危险因素分析

Risk factors of pulmonary infection after splenectomy

摘要:

目的 分析脾切除术后并发肺部感染的相关危险因素。方法 选取2019年1月至2023年4月孝感市中心医院行脾切除术的患者共240例。根据患者术后是否发生肺部感染分为感染组（n=52）与未感染组（n=188）。比较两组患者围术期相关指标，采用Logistic回归分析患者术后发生肺部感染的危险因素。结果 患者年龄≥65岁、有吸烟史、体重指数≥20 kg/m2、有糖尿病、手术方式为开腹脾切除术、手术时间≥2 h、降钙素原≥0.5 ng/mL及术后住院天数≥7 d是患者脾切除术后并发肺部感染的危险因素（P<0.05）。结论 对于因脾功能亢进行脾切除术的高龄患者而言，有吸烟史、手术时间长和术后住院时间长等会导致患者并发肺部感染的概率增加，因此，应做好相关防治。

Abstract:

Objective To analyze the risk factors of pulmonary infection after splenectomy.Methods A total of 240 patients who underwent splenectomy in Xiaogan Central Hospital from January 2019 to April 2023 were selected. Patients were divided into infected group (n=52) and uninfected group (n=188) according to whether they developed pulmonary infection after surgery. The perioperative indexes of the two groups were compared, and the risk factors of postoperative pulmonary infection were analyzed by logistic regression.Results Age ≥65 years old, history of smoking, BMI ≥20 kg/m², diabetes mellitus, operation mode of open splenectomy, operation time ≥2 hours, procalcitonin ≥0.5ng/mL and postoperative hospitalization ≥7 days were the risk factors for pulmonary infection after splenectomy (P<0.05).Conclusion For elderly patients undergoing splenectomy due to hypersplenic function, smoking history, long operation time and long postoperative hospital stay may increase the probability of pulmonary infection. Therefore, relevant prevention and treatment should be done.