辽宁医学院学报
遼寧醫學院學報
료녕의학원학보
Journal of Liaoning Medical University
2015年
5期
21-23
,共3页
全髋关节置换术%感染%危险因素
全髖關節置換術%感染%危險因素
전관관절치환술%감염%위험인소
total hip replacement%infection%risk factors
目的 探讨全髋关节置换术后感染的危险因素. 方法 回顾性分析85例全髋关节置换术患者的临床资料. 结果全髋关节置换术后感染发生率为5. 88% (5/85), 单因素分析结果显示, 年龄≥60岁, 手术时间≥160 min, 引流时间≥2 d, 长期应用激素, 合并糖尿病, 具有髋关节手术史, 血清清蛋白<35 g/L 者全髋关节置换术后感染率明显增高 ( P<0. 05), 而不同性别与全髋关节置换术后感染无明显相关性 (P>0. 05), 全髋关节置换术后感染的多因素Logistics回归分析显示, 长期应用激素、 合并糖尿病与髋关节手术史是全髋关节置换术后感染的独立危险因素 ( OR=6. 541、 6. 312、 6. 401,均P<0. 05). 结论 全髋关节置换术后感染与多种临床因素具有明显相关性, 根据多种危险因素采用积极预防与早期临床干预措施降低全髋关节置换术后感染发生风险.
目的 探討全髖關節置換術後感染的危險因素. 方法 迴顧性分析85例全髖關節置換術患者的臨床資料. 結果全髖關節置換術後感染髮生率為5. 88% (5/85), 單因素分析結果顯示, 年齡≥60歲, 手術時間≥160 min, 引流時間≥2 d, 長期應用激素, 閤併糖尿病, 具有髖關節手術史, 血清清蛋白<35 g/L 者全髖關節置換術後感染率明顯增高 ( P<0. 05), 而不同性彆與全髖關節置換術後感染無明顯相關性 (P>0. 05), 全髖關節置換術後感染的多因素Logistics迴歸分析顯示, 長期應用激素、 閤併糖尿病與髖關節手術史是全髖關節置換術後感染的獨立危險因素 ( OR=6. 541、 6. 312、 6. 401,均P<0. 05). 結論 全髖關節置換術後感染與多種臨床因素具有明顯相關性, 根據多種危險因素採用積極預防與早期臨床榦預措施降低全髖關節置換術後感染髮生風險.
목적 탐토전관관절치환술후감염적위험인소. 방법 회고성분석85례전관관절치환술환자적림상자료. 결과전관관절치환술후감염발생솔위5. 88% (5/85), 단인소분석결과현시, 년령≥60세, 수술시간≥160 min, 인류시간≥2 d, 장기응용격소, 합병당뇨병, 구유관관절수술사, 혈청청단백<35 g/L 자전관관절치환술후감염솔명현증고 ( P<0. 05), 이불동성별여전관관절치환술후감염무명현상관성 (P>0. 05), 전관관절치환술후감염적다인소Logistics회귀분석현시, 장기응용격소、 합병당뇨병여관관절수술사시전관관절치환술후감염적독립위험인소 ( OR=6. 541、 6. 312、 6. 401,균P<0. 05). 결론 전관관절치환술후감염여다충림상인소구유명현상관성, 근거다충위험인소채용적겁예방여조기림상간예조시강저전관관절치환술후감염발생풍험.
Objective To explore the risk factors of infection after total hip replacement. Methods Clinical data of 85 cases of patients with total hip replacement were retrospectively analyzed. Results The infection rate after total hip replacement was 5. 88%(5/85). After total hip replacement, single factor analysis showed that patients with an obvious high infection rate had the following characteristics:age≥60, operation time≥160 min, drainage time≥2 d, long-term use of hormone, combined diabetes, history of hip joint surgery and Serum albumin<35 g/L. Gender difference had no obvious correlation with infection after total hip replacement ( P>0. 05). Multiple factor analysis showed that long-term use of hormones, combined diabetes and history of hip joint surgery were inde-pendent risk factors for infection (OR=6. 541, 6. 312, 6. 401, P<0. 05). Conclusion Considering the fact that infection after total hip replacement is significantly correlated with many clinical factors, active prevention and early clinical intervention measures should be implemented to reduce the risk of infection after total hip replacement accordingly.
