相关实验视频
Updated: Sep 15, 2025
08:03
In Vivo Mouse Model of Spinal Implant Infection
Published on: June 23, 2020
2.5K
分析影响开放脚骨折手术后伤口感染的危险因素
Jia Wang1, Guixin Wang, Xiantie Zeng
1Department of Podiatry, Tianjin Hospital, Tianjin University, Tianjin, China.
Medicine
|July 15, 2025
概括
脚骨折手术后手术部位感染 (SSI) 与更高的BMI,糖尿病和更长的手术有关. 积极预防对于高风险患者来说至关重要,以减少感染率.
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:
- 手术部位感染 (SSI) 是骨科手术后的一个严重并发症.
- 骨骨折的开放减小和内部固定 (ORIF) 带有SSI的风险.
- 确定风险因素对于有效的SSI预防策略至关重要.
研究的目的:
- 为了确定脚骨折的ORIF后SSI的发生率.
- 在这个患者群体中确定与SSI相关的独立风险因素.
主要方法:
- 对809名因脚骨折接受ORIF治疗的患者进行了回顾性研究 (2018年1月 - 2023年1月).
- 患者分为感染 (n=76) 和非感染 (n=733) 组.
- 进行了单变量和多变量逻辑回归分析以确定风险因素.
主要成果:
- 总体上,SSI的发生率为9.39%.
- 对SSI的独立风险因素包括BMI≥28 kg/m2,高能量损伤,糖尿病,II类手术伤口,延长的手术时间和血清白蛋白<35 g/L.
- 其他几个因素在单变量分析中显示出显著的关联,包括ASA分类和某些血液参数.
结论:
- 手术前BMI≥28kg/m2,高能损伤,糖尿病,II类手术伤口,手术时间长,血清白蛋白水平低的患者患SSI的风险增加.
- 建议针对这些高风险个体采取有针对性的术前预防措施,以尽量减少术后的SSI发病率.
相关概念视频
01:26Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
26
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
26
01:22Aneurysm IV: Nursing Management
22
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
22
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
01:29Endocarditis IV: Nursing Management
37
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
37
01:27Fractures: Bone Repair
3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K