Influencing factors and intervention strategies of postoperative infectious complications in elderly patients with cholangiocarcinoma
Objective To investigate the influencing factors and intervention strategies of postoperative infectious complications in elderly patients with cholangiocarcinoma.Method A total of 84 elderly patients with cholangiocarcino-ma who underwent surgery were divided into infected group(n=29)and non-infected group(n=55)according to the oc-currence of postoperative infectious complications.The clinical data of the two groups were collected and compared,and the influencing factors of postoperative infectious complications in elderly patients with cholangiocarcinoma were ana-lyzed by Logistic regression model.Result There were statistically significant differences in lesion diameter,operation method,operation time,postoperative hospital stay,antibiotic use time,urinary catheter indwelling time,biliary obstruc-tion and postoperative bile leakage between infected group and non-infected group(P<0.05).Multivariate Logistic regres-sion analysis showed that longer operation time,urinary catheter indwelling time>5 days,biliary obstruction and postoper-ative bile leakage were independent risk factors for postoperative infectious complications in elderly patients with cholan-giocarcinoma(P<0.05).Conclusion Longer operation time,urinary catheter indwelling time>5 days,biliary obstruction and postoperative bile leakage were independent risk factors for postoperative infectious complications in elderly patients with cholangiocarcinoma.In order to reduce the incidence of postoperative infection and improve the prognosis of pa-tients,multi-level prevention and intervention measures should be taken comprehensively considering these factors.
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