手术台次与腰椎退行性疾病术后切口感染的相关性研究
发布时间：2018-07-16 20:54
【摘要】：目的:探讨手术台次与腰椎退行性疾病术后切口感染的相关性,为临床合理安排手术顺序提供参考。方法:回顾2014年6月—2016年12月1459例因腰椎退行性疾病在我院行腰椎后路减压植骨融合内固定术的患者资料,收集术后发生切口感染的患者作为研究组。同时按1:3的比例,纳入同时期接受相同手术治疗、术后未发生并发症的患者作为对照组。收集两组患者的临床资料,包括性别、年龄、糖尿病病史、手术台次、术前白细胞、嗜中性粒细胞、嗜中性粒细胞百分比、红细胞、血红蛋白、总蛋白、白蛋白及钙、疾病种类、手术节段、出血量和输血量等。对比分析手术台次与腰椎术后伤口感染的关系。结果:共纳入39例腰椎退行性疾病术后伤口感染患者,感染发生率为2.67%,其中男性22(2.74%)例,女性17(2.60%)例,平均年龄58.77±10.58岁。其中浅表感染27例,深部感染12例。感染组与对照组相比,在性别、年龄、术前白细胞、嗜中性粒细胞、嗜中性粒细胞百分比、红细胞、血红蛋白、总蛋白、白蛋白及钙、疾病诊断、手术节段及糖尿病病史方面均无统计学差异(P0.05)。logistic回归分析结果显示,手术台次(P=0.001、OR=2.224、95%CI=1.396~3.546)和输血量(P=0.024、OR=2.811、95%CI=1.146~6.891)是腰椎退行性疾病术后切口感染的独立危险因素。结论:手术台次与腰椎退行性疾病术后切口感染密切相关,是切口感染的独立危险因素之一。术者在安排腰椎手术时,应注意手术顺序的安排。
[Abstract]:Objective: to investigate the correlation between operation table and postoperative incision infection of lumbar degenerative disease, and to provide reference for clinical rational arrangement of operation order. Methods: from June 2014 to December 2016, 1459 patients with lumbar degenerative diseases underwent posterior lumbar decompression, bone grafting and internal fixation in our hospital. The patients with postoperative incision infection were collected as the study group. At the same time, according to the 1:3 ratio, the patients who received the same surgical treatment at the same time and had no postoperative complications were taken as the control group. The clinical data of the two groups were collected, including sex, age, history of diabetes, operating table, preoperative leukocyte, percentage of neutrophils, erythrocyte, hemoglobin, total protein, albumin and calcium. Types of diseases, surgical segments, blood loss and blood transfusions, etc. The relationship between operating table times and wound infection after lumbar vertebra operation was compared and analyzed. Results: a total of 39 patients with postoperative wound infection of lumbar degenerative diseases were included. The incidence of infection was 2.67%, including 22 males (2.74%) and 17 females (2.60%), with an average age of 58.77 卤10.58 years. There were 27 cases of superficial infection and 12 cases of deep infection. The infection group compared with the control group in sex, age, preoperative leukocyte, neutrophil percentage, erythrocyte, hemoglobin, total protein, albumin and calcium, disease diagnosis, The logistic regression analysis showed that the number of operating table (P0. 001) and the volume of blood transfusion (P0. 024) were independent risk factors of incision infection after lumbar degenerative disease operation (P0. 024) and blood transfusion volume (P0. 024 OR2. 811 ~ 95 CII 1.1466.891). The results of logistic regression analysis showed that there was no significant difference in surgical segment and diabetes history (P0.05). The logistic regression analysis showed that the operating table (P0. 001) and the volume of blood transfusion (P0. 024) were independent risk factors for postoperative incision infection. Conclusion: the operating table is closely related to postoperative incision infection of lumbar degenerative disease and is one of the independent risk factors of incision infection. The operator should pay attention to the arrangement of the operation order when arranging the lumbar vertebra operation.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3
[Abstract]:Objective: to investigate the correlation between operation table and postoperative incision infection of lumbar degenerative disease, and to provide reference for clinical rational arrangement of operation order. Methods: from June 2014 to December 2016, 1459 patients with lumbar degenerative diseases underwent posterior lumbar decompression, bone grafting and internal fixation in our hospital. The patients with postoperative incision infection were collected as the study group. At the same time, according to the 1:3 ratio, the patients who received the same surgical treatment at the same time and had no postoperative complications were taken as the control group. The clinical data of the two groups were collected, including sex, age, history of diabetes, operating table, preoperative leukocyte, percentage of neutrophils, erythrocyte, hemoglobin, total protein, albumin and calcium. Types of diseases, surgical segments, blood loss and blood transfusions, etc. The relationship between operating table times and wound infection after lumbar vertebra operation was compared and analyzed. Results: a total of 39 patients with postoperative wound infection of lumbar degenerative diseases were included. The incidence of infection was 2.67%, including 22 males (2.74%) and 17 females (2.60%), with an average age of 58.77 卤10.58 years. There were 27 cases of superficial infection and 12 cases of deep infection. The infection group compared with the control group in sex, age, preoperative leukocyte, neutrophil percentage, erythrocyte, hemoglobin, total protein, albumin and calcium, disease diagnosis, The logistic regression analysis showed that the number of operating table (P0. 001) and the volume of blood transfusion (P0. 024) were independent risk factors of incision infection after lumbar degenerative disease operation (P0. 024) and blood transfusion volume (P0. 024 OR2. 811 ~ 95 CII 1.1466.891). The results of logistic regression analysis showed that there was no significant difference in surgical segment and diabetes history (P0.05). The logistic regression analysis showed that the operating table (P0. 001) and the volume of blood transfusion (P0. 024) were independent risk factors for postoperative incision infection. Conclusion: the operating table is closely related to postoperative incision infection of lumbar degenerative disease and is one of the independent risk factors of incision infection. The operator should pay attention to the arrangement of the operation order when arranging the lumbar vertebra operation.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3
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相关期刊论文 前10条
1 俞芸芸;;麻醉医师手卫生现状的调查与建议[J];中医药管理杂志;2016年23期
2 马风华;田征;宋兴华;王，
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