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关闭近接骨骨折后手术部位感染的危险因素

Ming Li¹, Guang-Chen Sun¹, Jun Cui¹

¹Department of Orthopaedics, The First People's Hospital of Jiashan, Jiaxing, Zhejiang, People's Republic of China.

International wound journal

|November 27, 2023

概括

高BMI,吸烟,延迟手术和更长的手术时间增加了近端骨骨折中手术部位感染的风险. 解决这些因素可以帮助降低感染率.

科学领域:

整形外科手术整形外科手术
传染病流行病学传染病流行病学

背景情况:

靠近腰椎骨折是常见的伤害.
这些骨折的内部固定后的术后手术部位感染 (SSI) 是一个令人担忧的问题.
关于这种患者群体中SSI的特定风险因素的研究有限.

研究的目的:

为了确定和分析与手术部位感染 (SSI) 相关的风险因素,在关闭近接骨骨折的内部固定后.
为了确定这种骨折类型的SSI中涉及的发病率和常见病原体.

主要方法:

从2016年1月到2022年1月,对关闭近端骨骨折的患者进行了回顾性分析,这些患者接受了内部固定.
感染群是由外科手术后3个月内表面或深层感染定义的.
用单变量和多变量逻辑回归分析来确定SSI的独立风险因素.

主要成果:

总体上,SSI的发生率为15.7%.
黄金葡萄球菌 (Staphylococcus aureus) 是感染病例中最常见的细菌.
对SSI的独立风险因素包括高体重指数 (BMI),吸烟,从受伤到手术的时间增加以及手术持续时间延长.

结论:

高BMI,吸烟,延迟手术干预和延长的手术时间是关闭近腰骨骨折患者SSI的重要危险因素.
诸如体重管理,戒烟,及时手术和尽量减少手术时间等策略可以减少SSI的发生率.

关键词:

骨质合成的骨质合成靠近腰椎骨折骨折靠近腰椎骨折有关风险因素的风险因素.手术部位感染的感染.

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