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通过使用e-norms方法确定腰部融合手术后3天急期炎症标志物的规范性参考值

Shenyan Gu¹, Kaiwen Chen¹, Dongqing Zhu²

¹Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.

The spine journal : official journal of the North American Spine Society

|November 29, 2024

概括

在腰部融合手术后,e-norms方法为查手术部位感染 (SSI) 提供了更有效的参考值. 与传统方法相比,这种方法改善了术后并发症的早期检测.

科学领域:

脊柱外科手术脊柱外科手术
传染性疾病传染性疾病
生物标志物生物标志物

背景情况:

手术部位感染 (SSI) 是一个主要的并发症,增加了住院时间和费用.
早期发现SSI对于患者的治疗结果至关重要.
目前使用炎症标志物的查方法缺乏既定的规范价值.

研究的目的:

为了验证e-norms方法,以确定炎症标记者的参考范围,在腰部融合后3天.
评估SSI早期查电子标准的有效性.

主要方法:

对907名接受腰椎融合手术的患者进行了回顾性分析.
测量的炎症标志物:白细胞 (WBC) 计数,中性粒细胞,淋巴细胞,C反应蛋白 (CRP) 和红细胞沉积率 (ESR).
与传统方法相比,e-norms推导的参考值的比较.

主要成果:

电子规范为WBC,中性粒细胞,淋巴细胞,CRP和ESR提供了特定的参考值.
与传统方法 (21.4%) 相比,e-norms方法发现SSI患者患有异常炎症标志物的频率明显更高 (75.0%).

结论:

在脊椎手术后的术后SSI查中,E-norms衍生的参考值更有效.
电子规范方法为建立炎症标志物参考值提供了一种可靠且节省时间的替代方案.

关键词:

电子规范电子规范这是一种炎症标志物.腰部融合手术是指腰部融合手术.规范性参考值是指指规范性参考值.手术部位感染的感染.

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