跟骨骨折术后引流量增多的危险因素分析

发布时间：2018-05-28 17:34

本文选题：跟骨骨折 + 引流量增加　；参考：《中国矫形外科杂志》2017年12期

【摘要】：[目的]探讨跟骨骨折术后引流量增多的危险因素,为预防跟骨骨折术后切口并发症提供参考。[方法]回顾性分析本院2015年1月~2016年8月手术治疗的59例跟骨骨折患者临床资料,男48例,女11例。年龄18~70岁,平均(46.50±13.11)岁。记录术后引流量,并对相关危险因素进行统计学分析。[结果]59例患者纳入本研究,术后引流量平均(433.70±242.90)(40~1 020)ml,将术后引流量≥中位数定义为引流量增加,共有31例患者术后引流量增加。多因素回归分析显示:身体质量指数BMI(body mass index,P0.05)、吸烟史(P0.05)、ASA评级(American Society of Anesthesiologists,P0.05)是跟骨骨折术后引流量增加的危险因素。[结论]跟骨骨折术后引流量与BMI、吸烟史以及ASA分级相关,对肥胖、吸烟或ASA高分级的患者应提高警惕,需积极采取措施降低术后切口并发症的风险。
[Abstract]:[Objective] to investigate the risk factors of increased drainage of calcaneal fracture after operation of calcaneal fracture, and to provide reference for the prevention of postoperative complications of calcaneal fracture. [Methods] Retrospective analysis of the clinical data of 59 cases of calcaneal fracture in August, January 2015 ~2016 years in our hospital, 48 males and 11 females. The age of 70 years old, average (46.50 + 13.11) years. The related risk factors were analyzed statistically. [results the results of]59 patients were included in this study. The average flow rate was (433.70 + 242.90) (40~1 020) ml after the operation. The postoperative flow rate was defined as the increase of the flow rate, and the flow rate increased in 31 patients after operation. The multifactor regression analysis showed: body mass index BMI (body mass index, P0.05). Smoking history (P0.05), ASA rating (American Society of Anesthesiologists, P0.05) is a risk factor for increased flow rate after calcaneal fracture. [Conclusion] the flow rate of calcaneal fracture is associated with BMI, smoking history and ASA classification. The patients with obesity, smoking or ASA high grade should be vigilant and need to take active measures to reduce postoperative incision concurrence. The risk of a disease.
【作者单位】：南京大学医学院附属鼓楼医院;
【基金】：国家自然科学基金项目(编号:81401795) 南京市卫生局一般项目(编号:编号:YKK14076) 中央高校基本科研业务费项目(编号:20620140712)
【分类号】：R687.3

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