人工髋关节置换术后感染的临床特点与干预措施分析  

Clinical features and interventions of postoperative infections after artificial hip replacement

作　　者：刘刚[1] 刘群[2] 杨顺杰[3] 王溶[1] 王坤 

机构地区：[1]大连医科大学附属第二医院骨关节外科,辽宁大连116027 [2]大连医科大学附属第二医院感染控制科,辽宁大连116027 [3]遂宁市中心医院骨关节外科,四川遂宁629000 [4]东港市中心医院骨外科,辽宁东港118300

出　　处：《中华医院感染学杂志》2015年第23期5438-5440,共3页Chinese Journal of Nosocomiology

基　　金：辽宁省自然科学基金资助项目(2013023034)

摘　　要：目的探讨人工髋关节置换术后感染的临床特点及干预措施,为治疗提供参考依据。方法随机选取2012年2月-2015年2月289例行人工髋关节置换术患者的临床资料,探讨人工髋关节置换术后感染的临床特点及干预措施,对感染患者采取不同干预措施,评价关节功能的恢复效果,数据采用SPSS 13.0软件进行统计分析。结果术后感染25例,感染率为8.65%;术后感染患者手术时间、术中出血量、术后血液各项指标均高于非感染患者,差异有统计学意义(P<0.01);感染患者术后6个月,干预患者关节疼痛、活动、畸形和功能评分总评分达到(97.73±4.29)分,高于未干预患者的(78.84±3.45)分,干预患者髋关节功能恢复较好,差异有统计学意义(P<0.01)。结论高龄、合并糖尿病、长期使用激素、血红蛋白和血清白蛋白含量低、手术时间长、引流时间长等多种因素均是髋关节置换术患者术后发生感染的高危因素,在采取干预措施后,患者髋关节功能有明显改善,临床疗效较好。OBJECTIVE To study the clinical features and interventions of postoperative infections after artificial hip replacement so as to provide references for clinical treatments. METHODS Totally 289 cases of patients who re- ceived artificial hip replacement surgery from Feb. 2012 to Feb. 2015 were randomly selected as study objects. The characteristics and intervention of postoperative infections were analyzed. Different interventions in infected patients were taken and their restoration effect of joint function was evaluated. All data were statistically analyzed by SPSS 13.0 software. RESULTS Totally 25 cases appeared postoperative infections and the infection rate was 8.65%. Infected patients underwent longer operation time, more blood loss, and higher postoperative blood indi- cators than the uninfected patients. The differences were significant （P〈0.01）. Six months later, interfered pa- tients had joint pain, deformity and function scores of （97.73±4.29） points, higher then those without interven- tions with the score of （78.84±3.45） points. Patients with interventions had better hip joint functions and the difference was significant. CONCLUSION A variety of factors including age, diabetes, long-term use of hormones, low level of hemoglobin and albumin content, long operation time, a long time of drainage are risk factors for pa- tients with infections after artificial hip replacement, and after interventions, there is a significant improvement in joint function and clinical effect.

关 键 词：人工髋关节置换术 术后感染 特点 干预措施 

分 类 号：R619.3[医药卫生—外科学]