摘要
目的:分析胸腰椎骨患者行经皮椎弓根螺钉内固定术治疗后发生术区感染的影响因素。方法:回顾性分析2020年7月-2022年7月在湖北六七二中西医结合骨科医院行经皮椎弓根螺钉内固定术治疗216例胸腰椎骨折患者的临床资料,术后出现术区感染患者纳为感染组,术后未发生术区感染患者纳为对照组,分析胸腰椎骨折术后术区感染的影响因素。结果:216例胸腰椎骨折患者中19例(8.80%)发生术后感染,197例(91.20%)未发生术后感染。单因素分析显示,两组年龄、糖尿病、低体温、手术时长、术后营养干预、BMI比较,差异均有统计学意义(P<0.05)。两组性别、高血压、最高学历、切口长度、骨折类型、术后Cobb角度比较,差异均无统计学意义(P>0.05)。logistic回归分析显示,年龄≥70岁[OR=4.911,95%CI(1.551,15.550)]、糖尿病[OR=3.838,95%CI(1.080,13.634)]、低体温[OR=3.200,95%CI(1.041,9.834)]、手术时长≥90 min[OR=3.700,95%CI(1.199,11.416)]、术后无营养干预[OR=3.460,95%CI(1.161,10.315)]、BMI≥25 kg/m^(2)[OR=3.677,95%CI(1.171,11.549)]是胸腰椎骨折患者行经皮椎弓根螺钉治疗后发生术区感染的独立危险因素(P<0.05)。结论:胸腰椎骨折患者行经皮椎弓根螺钉内固定术后发生术区感染与患者的年龄、糖尿病、低体温、手术时长、术后营养干预、BMI有关。医护人员可根据其危险因素进行适当干预,以降低术后感染的发生率。
Objective:To analyze the influencing factors of intraoperative area infection in patients with thoracolumbar fracture treated with percutaneous pedicle screw internal fixation.Method:The clinical data of 216 patients with thoracolumbar fracture treated by percutaneous pedicle screw internal fixation in Hubei 672 Orthopaedic Hospital of Integrated Traditional Chinese and Western Medicine from July 2020 to July 2022 were retrospectively analyzed,patients with intraoperative area infection were included in the infected group,and patients without intraoperative area infection were included in the control group,influencing factors of intraoperative area infection were analyzed.Result:Among 216 patients with thoracolumbar fracture,19(8.80%)had intraoperative area infection,while 197(91.20%)had no intraoperative area infection.Univariate analysis showed that there were statistically significant differences in age,diabetes,hypothermia,operation duration,postoperative nutritional intervention and body mass index(BMI)between the two groups(P<0.05).There were no significant differences in gender,hypertension,highest education,incision length,fracture type and postoperative Cobb angle between the two groups(P>0.05).logistic regression analysis showed that age≥70 years old[OR=4.911,95%CI(1.551,15.550)],diabetes[OR=3.838,95%CI(1.080,13.634)],hypothermia[OR=3.200,95%CI(1.041,9.834)],operation duration≥90 min[OR=3.700,95%CI(1.199,11.416)],no postoperative nutritional intervention[OR=3.460,95%CI(1.161,10.315)],BMI≥25 kg/m2[OR=3.677,95%CI(1.171,11.549)]were independent risk factors for intraoperative area infection in patients with thoracolumbar fractures after percutaneous pedicle screw internal fixation(P<0.05).Conclusion:The incidence of intraoperative area infection in patients with thoracolumbar fractures treated with percutaneous pedicle screw internal fixation is related to the patient's age,diabetes,hypothermia,operation duration,postoperative nutritional intervention and BMI.Medical staff can conduct appropriate intervention according to the risk factors,so as to reduce the incidence of postoperative infection.
作者
郑瑶
周诗晶
谢维
兰细香
ZHENG Yao;ZHOU Shijing;XIE Wei;LAN Xixiang(Hubei 672 Orthopaedic Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan 430000,China;不详)
出处
《中国医学创新》
CAS
2023年第4期175-179,共5页
Medical Innovation of China
关键词
经皮椎弓根螺钉内固定术
胸腰椎骨折
营养干预
Percutaneous pedicle screw internal fixation
Thoracolumbar fractures
Nutritional intervention
