实用器官移植电子杂志 ›› 2020, Vol. 8 ›› Issue (4): 267-269.DOI: 10.3969/j.issn.2095-5332.2020.04.007

• 论著 • 上一篇    下一篇

肝移植术后感染的供体相关性危险因素分析

龚雪屹,胡泽民   

  1. 中山市人民医院肝胆外科,广东 中山 528403
  • 出版日期:2020-07-20 发布日期:2021-06-22

Analysis of donor risk factors for post-liver transplantation infection

Gong XueYi,Hu ZeMin.   

  1. The Department of Hepatobiliary Surgery,Zhongshan People's Hospital,Zhongshan 528400, Guangdong,China.
  • Online:2020-07-20 Published:2021-06-22

摘要:

目的 探讨公民逝世后器官捐献供肝肝移植患者感染的供体相关因素。方法 回顾性分析中 山市人民医院 2015 年 1 月 1 日— 2019 年 12 月 31 日 100 例接受公民逝世后器官捐献供肝肝移植手术患者的 临床资料。根据患者术后感染情况将病例分为感染组和非感染组,对发生肝移植术后感染的供体可能相关 的因素进行单因素分析,将相关因素纳入多因素 Logistic 回归分析,对肝移植术后感染进行预测或风险评估。 结果 单因素分析得出供体白 / 球蛋白比、供体总胆汁酸及供体白蛋白评分 3 个因素是器官捐献供肝肝移 植术后感染的相关因素(P < 0.05)。多因素 Logistic 回归分析结果显示,供体总胆汁酸及供体白蛋白评分 为器官捐献供肝肝移植术后感染的独立相关因素(P < 0.05)。结论 术前低供体总胆汁酸及供体白蛋白评 分,其肝移植术后感染风险较小。

关键词: 公民逝世后器官捐献 , 肝移植 , 肝移植术后感染

Abstract:

Objective To investigate the donor risk factors for post-liver transplantation infection in donation after the death of citizens. Methods A retrospective analysis of the clinical data of 100 patients from January 1,2015 to December 31,2019 at Zhongshan People's Hospital was performed. The patients accepted organ donation after the death of citizens for liver transplantation. The patients were divided into infection group and non-infection group according to the postoperative infection status of the patients. Univariate analysis was performed on possible factors related to donor-associated infection after liver transplantation,and related factors were included in multivariate logistic regression. Predictive or risk assessment of infection after liver transplantation were analyzed. Results The univariate analysis revealed that the donor albumin ratio,donor total bile acid and donor albumin score were related to infection after liver transplantation(P < 0.05). Multivariate logistic regression analysis showed that donor total bile acid and donor albumin scores were independent related factors for infection after liver transplantation(P < 0.05). Conclusion Low donor total bile acid and donor albumin scores before surgery were associated with lower risk of infection after liver transplantation.

Key words: Organ donation citizens after death , Liver transplantation , Post-liver transplantation infection