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老年肺癌患者术后切口感染的危险因素分析

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目的 研究老年肺癌患者术后切口感染的危险因素.方法 2018年2月至2023年10月在本院接受手术的老年肺癌患者102例,根据术后是否发生切口感染分为感染组(12例)和非感染组(90例).采用单因素分析及多因素Logistic回归分析老年肺癌患者术后切口感染的危险因素,并构建Logistic回归模型,采用ROC曲线分析该模型对老年肺癌患者术后切口感染的预测价值.结果 单因素分析结果显示,术后切口感染组与非感染组手术时间、手术切除范围以及术后3 d白蛋白水平比较,差异有统计学意义(P<0.05).多因素Logistic回归分析显示,手术时间≥3 h、全肺切除、术后3 d白蛋白水平是老年肺癌患者术后切口感染发生的独立危险因素(P<0.05);Logistic回归模型预测老年肺癌患者术后切口感染的ROC曲线下面积(AUC)AUC值为0.814(95%CI:0.700~0.928,P<0.05),预测敏感度为78.68%,特异度为71.11%.结论 手术时间≥3 h、全肺切除、术后3 d白蛋白水平是老年肺癌患者术后切口感染发生的独立危险因素,基于此构建的Logistic回归模型对老年肺癌患者术后切口感染有一定的预测价值.
Analysis of risk factors for postoperative incision infection in elderly lung cancer patients
Objective To study the risk factors of postoperative incision infection in elderly lung cancer patients.Methods 102 elderly lung cancer patients undergoing surgery in our hospital from February 2018 to October 2023 were divided into infected group(12 cases)and non-in-fected group(90 cases)according to whether incisional infection occurred after surgery.Univariate analysis and multivariate logistic regression were used to analyze the risk factors of postoperative incision infection in elderly lung cancer patients,and a logistic regression model was constructed,and the ROC curve was used to analyze the predictive value of postoperative incision infection in elderly lung cancer patients.Results The univariate analysis showed that the operation time,resection range and albumin level(P<0.05).Multivariate logistic regression analysis showed that operation time 3 h,total lung resection,and 3 d postoperative albumin level were independent risk factors for the development of postoperative cancer infection(P<0.05).AUC of elderly lung cancer patients was 0.814(95%CI:0.700-0.928,P<0.05),prediction sensitivity was 78.68%and specificity was 71.11%.Conclusion Operation time of 3 h,total lung resection and 3d postoperative albumin level are independent risk factors for the occurrence of postoperative incision infection in elderly lung cancer patients,and the logistic regression model constructed based on this has certain predictive value for postoperative incision infection in elderly lung cancer patients.

Lung cancerElderly patientsPostoperative incision infectionRisk factorsPredictive value

魏飞扬、郭文璨、高丽萍

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311225 杭州,浙江省杭州市第九人民医院

肺癌 老年患者 术后切口感染 危险因素 预测价值

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(8)