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手术部位感染的相关因素与脊柱仪器化手术有关
Shinji Tanishima1, Tokumitsu Mihara2, Chikako Takeda2
1Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, 683-8504, Tottori, Japan. shinjit@tottori-u.ac.jp.
Scientific reports
|November 18, 2025
概括
脊柱仪器手术后的手术部位感染 (SSI) 是一个严重的风险. 紧急手术成为发展SSI的重要风险因素,突出了紧急手术期间感染控制的潜在差距.
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
- 患者安全 患者安全
背景情况:
- 手术部位感染 (SSI) 是脊柱仪器化手术后的一个重大并发症.
- 确定SSI的相关因素对于改善患者的治疗结果和减少医疗保健负担至关重要.
研究的目的:
- 在脊柱仪器仪表后调查与SSI相关的患者和手术相关因素.
- 确定SSI可修改的风险因素,以告知预防策略.
主要方法:
- 对483名接受脊柱仪器化手术的患者进行了回顾性研究 (2016年1月 - 2021年3月).
- 分析包括患者人口统计,并发病,手术变量和感染结果.
- 用单变量和多变量逻辑回归来确定SSI的风险因素.
主要成果:
- 整体SSI率为2.3% (483名患者中11名).
- 单变分析显示SSI与较低的白蛋白,较高的CRP和紧急手术之间存在关联.
- 多变量后勤分析确定紧急手术是SSI的一个显著风险因素 (OR:4.6,P=0.016).
结论:
- 紧急手术是脊柱仪器仪表手术中SSI的一个独立风险因素.
- 研究结果表明,在紧急手术期间,感染控制措施可能存在缺陷.
- 经常性SSI表明在全面的经营管理中可能存在的问题.
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