CAJ | 학술논문

背景:术前各皮被认为是减少全膝置换后感染的一种预防措施.目的:观察备皮对全膝关节置换后感染的预防效果.方法:选择行初次全膝置换患者425例(493膝),男98例,女327例;年龄40～84岁,平均60岁:根据术前备皮方式的不同分为剃刀备皮组(290例331膝)、脱毛剂备皮组(74例88膝)、手术日早晨皮肤清洗组(61例74膝);观察置换后患肢感染情况.结果与结论:全部患者获得随访,随访时间0.5～5.5年,平均3.9年.全膝置换后感染发生率在剃刀备皮组、脱毛剂备皮组、手术日早晨皮肤清洗组分别为1.81%,2.27%,1.35%.提示全膝置换膝部不同的备皮方法感染发生率无显著性差异.
배경:술전각피피인위시감소전슬치환후감염적일충예방조시.목적:관찰비피대전슬관절치환후감염적예방효과.방법:선택행초차전슬치환환자425례(493슬),남98례,녀327례;년령40～84세,평균60세:근거술전비피방식적불동분위체도비피조(290례331슬)、탈모제비피조(74례88슬)、수술일조신피부청세조(61례74슬);관찰치환후환지감염정황.결과여결론:전부환자획득수방,수방시간0.5～5.5년,평균3.9년.전슬치환후감염발생솔재체도비피조、탈모제비피조、수술일조신피부청세조분별위1.81%,2.27%,1.35%.제시전슬치환슬부불동적비피방법감염발생솔무현저성차이.
BACKGROUND:Skin preparation before surgery has been described as a preventive measure for reducing infections following total knee arthroplasty.OBJECTIVE:To investigate the prophylactic effect of skin preparation on the infections after total knee arthroplasty.METHODS:A total of 422 patients (493 knees) who were candidate for primary total knee arthroplasty,including 98 males and 327 females.They were from 40 years old to 84 years old,averaging 60 years old.According to the different ways of preoperative skin preparation,the patients were divided into 3 groups,razor skin preparation group (n=290 patients,331 knees),dehairing agent skin preparation group (n=74 patients,88 knees),and skin cleaning on the surgical morning group (n=61 patients,74 knees);the limb infections after replacement were observed.RESULTS AND CONCLUSION:All patients were followed up for 0.5-5.5 years,with an average of 3.9 years.The infection incidence after total knee arthroplasty in the razor skin preparation group,dehairing agent skin preparation group,skin cleaning on the surgical morning group were 1.81%,2.27%,1.35%,respectively.It is indicated that there is no significant difference in the infection rate of skin preparation by different methods following total knee arthroplasty.