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在手术治疗的脚骨折中,创伤性骨折相关感染的危险因素:多中心回顾性研究
Yong Yang1, Tian You2, Yanling Wei3
1Shantou University Medical College, Shantou, 515041, Guangdong province, China; Department of Orthopedic Surgery, Shenzhen Hengsheng Hospital, Shenzhen, 518036, Guangdong province, China.
识别骨骨折相关感染 (FRI) 的危险因素对于预防并发症至关重要. 脚脱和软组织出血的水泡显著增加了手术固定后FRI的风险.
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:
- 脚骨折固定容易感染,导致长时间的愈合和功能障碍.
- 识别骨骨折相关感染 (FRI) 的风险因素对于预防和改善患者结果至关重要.
研究的目的:
- 以回顾分析与脚骨折相关感染 (FRI) 相关的临床风险因素.
主要方法:
- 一项回顾性研究包括298名因脚骨折接受手术治疗的患者.
- 排除标准:开放或病理条件.
- 使用单变量和二进制物流回归分析来确定FRI的风险因素.
主要成果:
- FRI的发病率为7.1% (298名患者中有21名).
- 确定了重要的危险因素:脚脱 (OR=11.799),软组织血 (OR=8.004),节绑架类型 (OR=1.746) 和吸烟 (OR=4.94).
- 软组织状况,如血性水泡和脚脱,与FRI有很强的关联.
结论:
- 脚脱和软组织血的水泡是手术治疗脚骨折中FRI的重要危险因素.
- 这些发现有助于外科医生在患者咨询和实施手术前的预防策略.
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