人工膝关节置换术后发热特点、趋势及相关因素分析

发布时间：2018-03-05 20:51

本文选题：关节成形术　切入点：置换　出处：《重庆医学》2017年21期 　论文类型：期刊论文

【摘要】：目的分析人工膝关节置换术(TKA)后发热的特点,分析影响术后发热的因素。方法回顾性分析青海省人民医院2012年1月至2016年6月行TKA的380例患者的病历资料,列出术前1d至术后10d的体温变化,分析发热特点,以及术后发热与基础疾病、麻醉方式、血红蛋白丢失量、输血、感染及感染类型等因素的关系。结果380例行TKA的患者中198例(52.1%)出现术后发热,其中103例(52.0%)在术后第1天发热。多因素非条件logistic回归分析显示:术后发热与感染、输血事件明显相关(R=0.928、0.764,P=0.000、0.012),与年龄、性别、血红蛋白丢失量、单双侧置换等因素之间没有明显相关性(P0.05)。结论 TKA患者术后极易发热,且多在术后第1天,术后发热与感染、输血事件明显相关。
[Abstract]:Objective to analyze the characteristics of fever after artificial knee arthroplasty (TKA) and the factors affecting fever after operation. Methods the medical records of 380 patients who underwent TKA from January 2012 to June 2016 in Qinghai Provincial people's Hospital were retrospectively analyzed. The changes of body temperature from 1 day before operation to 10 days after operation were listed, and the characteristics of fever were analyzed, as well as postoperative fever and underlying diseases, anaesthesia, hemoglobin loss, blood transfusion. Results among the 380patients who received TKA, 198 patients (52.1) had postoperative fever, including 103 patients (52.0) had fever on the first day after operation. Multivariate conditional logistic regression analysis showed: postoperative fever and infection. There was no significant correlation between blood transfusion events and age, sex, hemoglobin loss, unilateral or bilateral replacement, etc. Conclusion patients with TKA are prone to fever after operation, and most of them are fever and infection after operation on the first day after the operation, and there is no significant correlation between blood transfusion events and age, sex, hemoglobin loss, unilateral or bilateral replacement, etc. Conclusion the patients with TKA are prone to fever after operation, and most of them have fever and infection after operation on the first day after operation. Blood transfusion events were significantly related.
【作者单位】：青海省人民医院骨科;青海大学附属医院内分泌科;
【分类号】：R687.4

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