摘要
目的分析了髋膝关节置换术后感染发生的危险因素,指导临床控制髋膝关节置换术后感染的发生。方法选取2011-2013年行髋膝关节置换术的患者共356例,回顾性分析患者临床资料,研究髋膝关节置换术后感染发生的危险因素,采用SPSS 13.0软件进行统计分析。结果行髋膝关节置换术的356例患者,术后发生感染46例,髋膝关节置换术后感染的发生率为12.9%;其中手术部位感染24例占52.2%;危险因素分析结果表明,患者年龄>55岁、术前住院时间>1d、术前备皮时间>8h、术后住院时间>3d、合并其他疾病、异体输血、留置导尿管、预防性应用抗菌药物等因素是髋膝关节置换术后感染发生的危险因素。结论髋膝关节置换术后合并感染的发生率高,临床应根据髋膝关节置换术后合并感染的危险因素,采取措施控制髋膝关节置换术后感染的发生。
OBJECTIVE To analyze the risk factors of infection for paitents after hip and knee arthroplasty ,and to provide some knowledge to prevent the occurrence of infection for patients after hip and knee arthroplasty . METHODS During the period of 2011-2013 ,356 cases of patients after hip and knee arthroplasty were chosen , among which 46 were grouped into the infection group and 310 were in the uninfected group .General information was retrospectively analyzed .Risk factors of infection for patients after hip and knee arthroplasty were studied by comparing factors between infection patients and non‐infection patients .The data were statistically analyzed using SPSS 13 .0 .RESULTS Among the 356 cases of patients after hip and knee arthroplasty ,46 had postoperative in‐fection ,and the occurrence rate of infection after hip and knee arthroplasty was 12 .9% .Among the 46 cases of patients with infection after hip and knee arthroplasty ,there were 24 cases of operative sites infection ,accounting for 52 .2% .The analysis results of risk factors indicated that patient age ＆gt;55 years old ,duration of hospitaliza‐tion before （〉1 d） and after （〉3 d） operation ,preoperative skin preparation time 〉8 h ,complications ,alloge‐neic blood transfusion ,indwelling urinary catheter and preventive application of antibiotics were the risk factors for infection in patients after hip and knee arthroplasty .CONCLUSION The occurrence rate of infection after hip and knee arthroplasty was high .Prevention measures should be taken based on the risk factors of complicated infec‐tions in patients after hip and knee arthroplasty .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第23期5880-5881,5884,共3页
Chinese Journal of Nosocomiology
基金
江苏省卫生厅研究基金资助项目(H201256)
关键词
髋膝关节置换术
感染
危险因素
分析
Hip and knee arthroplasty
Infection
Risk factors
Analysis
