人工关节置换术后感染早期的监测  

Monitoring Early Infection after Artificial Joint Replacement

作　　者：任少海[1] 史国峰[1] 郑莉[1] 牛红梅[1] 李绍祥[2] 

机构地区：[1]邯郸市第一医院骨科,河北邯郸056002 [2]北京军区总医院肝病科,北京100700

出　　处：《昆明医学院学报》2012年第1期51-53,共3页Journal of Kunming Medical College

基　　金：国家自然科学基金资助项目(30872353)

摘　　要：目的探讨人工关节置换术后感染的早期监测方法.方法对96例人工关节置换术后患者术后的伤口引流管引流液进行细菌培养+药敏试验及连续监测C反应蛋白(C reactive protein,CRP)水平.结果 96例细菌培养阴性;CRP浓度在术后迅速增高,在术后2 d达到峰值,此后逐渐下降至正常水平;术后患者均无感染.结论常规监测引流管引流液细菌培养及CRP的水平是早期发现人工关节置换术后感染的重要指标.Objective To investigate the early diagnostic techniques of the infection after artificial joint replacement. Methods For 96 patients underwent artificial joint replacement, bacterial culture plus drug sensitivity assays were performed on the drainage fluid, and serum level of CRP （C reactive protein） was also continuously monitored. Results Bacterial cultures were negative in 96 cases, and the serum level of CRP was elevated quickly, attaining peak value in the second day post-operation, then gradually falling to normal level, no post-operation infection was found in all patients. Conclusion After artificial joint replacement, by regularly performing bacterial culture plus drug sensitivity assays on drainage fluid and continuously monitoring serum level of CRP, post -operation infection may be found early.

关 键 词：人工关节置换 引流液 细菌培养 C反应蛋白 

分 类 号：R687.4[医药卫生—骨科学]