贵州医科大学学报

2015, v.40;No.183(12) 1395-1397

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脊柱内固定术后感染的原因分析
Analysis of Surgical Site Infection Following Spinal Fixation Operations

王力航;尚显文;
WANG Lihang;SHANG Xianwen;Guizhou Medical University;Department of Orthopaedics,Affiliated Hospital of Guizhou Medical University;

摘要(Abstract):

目的:分析脊柱内固定术后感染的相关危险因素。方法:对骨科行脊柱内固定术998例病例资料进行整理,统计脊柱内固定术后感染情况,分析术后感染的相关危险因素。结果:行脊柱内固定手术术后发生感染21例,感染率为2.10%;其中,不规范使用预防性抗生素、术后留观ICU、术后脑脊液漏、大小便失禁、罹患糖尿病为感染率高的独立高风险因素,年龄、手术节段、手术时间及术中出血量为感染非独立相关因素。结论:脊柱内固定术后感染的独立危险因素为不规范使用预防性抗生素、术后留观ICU、脑脊液漏、大小便失禁及罹患糖尿病。
Objective: To analyze relevant risk factors of postoperative infection after spinal internal fixation operation. Methods: The clinical data of 998 cases of spinal internal fixation operation from September,2006 to September,2014 were collected and the relative risk factors of postoperative infection were analyzed. Results: There were 21 cases of postoperative infection in total 998 cases of spinal internal fixation operation,and the infection rate is 2. 10%. Among those relevant risk factors of postoperative infection,nonstandard prophylactic antibiotics use,postoperative stay and observation in ICU,leakage of cerebrospinal,gatism,and glycuresis were independent high risk factors leading to high infection rate while age,operation section,operation time and blood loss during operation were non independent relevant factors of infection. Conclusion: The independent high risk factors leading to postoperative infection after spinal internal fixation operation are nonstandard prophylactic antibiotics use,postoperative stay and observation in ICU,leakage of cerebrospinal,gatism,and glycuresis.

关键词(KeyWords): 脊柱内固定术;手术后;感染;危险因素
spinal internal fixation;post-operation;infection;risk factors

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作者(Author): 王力航;尚显文;
WANG Lihang;SHANG Xianwen;Guizhou Medical University;Department of Orthopaedics,Affiliated Hospital of Guizhou Medical University;

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DOI: 10.19367/j.cnki.1000-2707.2015.12.029

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