在全脚关节整形手术中,糖尿病管理和感染风险
Kevin A Wu1, Albert T Anastasio1, Alexandra N Krez1
1Division of Foot and Ankle, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
概括
低血糖控制,不仅仅是糖尿病,增加了关节整形手术 (TAA) 后的感染风险. 有效的血糖管理对于接受TAA的患者来说至关重要,以防止周围假肢关节感染 (PJI).
科学领域:
- 整形外科手术 整形外科手术
- 糖尿病学 糖尿病学
- 传染性疾病 传染性疾病
背景情况:
- 关节整形术 (TAA) 在末期关节炎中越来越常见.
- 由于免疫和愈合功能受损,糖尿病在TAA后具有更高的感染风险.
- 关于糖尿病管理如何影响TAA后感染风险的数据有限.
研究的目的:
- 调查糖尿病管理对TAA后周围假肢关节感染 (PJI) 的影响.
- 在糖尿病管理中确定与PJI风险相关的特定因素.
主要方法:
- 糖尿病TAA患者的回顾性研究 (2002年3月至2022年5月).
- 倾向性得分匹配 (1:3) 的PJI患者与那些没有.
- 收集了有关人口统计,植入物,糖尿病药物和手术前HbA1c的数据.
主要成果:
- 与整体队列 (0.8%) 相比,糖尿病患者的PJI率较高 (2.8%).
- PJI患者表现出明显更高的失控糖尿病率 (60.0%对6.7%) 和平均HbA1c升高 (7.02%对6.29%).
- 两组之间在糖尿病药物使用方面没有发现显著差异.
结论:
- 不充分的血糖控制,而不是单独的糖尿病,与TAA后的PJI风险增加有关.
- 优化血糖管理对于接受TAA的糖尿病患者的良好结果至关重要.
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