摘要
目的分析脊柱后路内固术式治疗后相关感染的高危因素及围术期治疗方法。方法回顾性分析脊柱后路内固术式治疗患者400例,按照术后是否发生感染进行分组,对照组(n=361)为非感染患者,观察组(n=39)为感染患者,对比分析2组的临床资料,分析造成感染的高危因素,同时分析其治疗方法及结果。结果细菌培养结果表明,400例感染患者中共检测出39例细菌样本。组间年龄、白蛋白水平、手术时间、出血量以及是否合并糖尿病对比(P<0.05)。Logistic回归分析结果表明,年龄、白蛋白水平、手术时间、出血量以及合并糖尿病患者是独立危险因素。末次随访时,观察组感染患者均痊愈。结论年龄>60岁、白蛋白水平<35 g/L、手术时间>3 h、出血量>1000 mL以及合并糖尿病是感染高危因素,围术期应积极采用治疗策略,降低术后相关感染的发生。
Objective To analyze the risk factors and perioperative treatment strategies of related infection after posterior spinal fixation.Methods 400 patients treated with posterior spinal internal fixation were retrospectively analyzed.The patients were divided into control group(n=361,non-infected patients)and observation group(n=39,infected patients)according to whether postoperative infection occurred.The clinical data,the risk factors of infection and the treatment methods and results were analyzed.Results The results of bacterial culture showed that 39 bacterial samples were detected in 400 infected patients.Age,albumin level,operative time,bleeding volume,and diabetes mellitus were compared between groups(P<0.05).Logistic regression analysis showed that age,albumin level,operative time,bleeding volume and diabetes mellitus were independent risk factors.All the infected patients in the observation group were cured at the last follow-up.Conclusion Age>60 years old,albumin level<35 g/L,operation time>3 h,bleeding volume>1000 mL and diabetes mellitus are risk factors of infection.Perioperative treatment strategies should be actively adopted to reduce postoperative infection.
作者
张晓虎
刘自明
马海珍
ZHANG Xiaohu;LIU Ziming;MA Haizhen(Department of Orthopedics,Wuzhong People′s Hospital,Wuzhong 751100,China)
出处
《宁夏医学杂志》
CAS
2022年第3期215-218,共4页
Ningxia Medical Journal
关键词
脊柱后路内固术式
感染
高危因素
围术期
治疗策略
Posterior spinal fixation
Infected
High risk factors
Perioperative period
Treatment strategy
