隆鼻整形患者术后发生感染的影响因素分析  

Analysis of Influencing Factors of Postoperative Infection in Patients withAugmentation Rhinoplasty

作　　者：李荻[1] 李江[2] LI Di;LI Jiang(Department of Medical Cosmetology,Jining Second People’s Hospital,Jining 272049,Shandong,China;Department of Plastic Surgery,General Hospital of Jinan Military Region,Jinan 250031,Shandong,China)

机构地区：[1]济宁市第二人民医院医学美容科,山东济宁272049 [2]济南军区总医院整形科,山东济南250031

出　　处：《中国美容医学》2020年第10期33-36,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨并分析隆鼻整形患者术后发生感染的影响因素,为降低术后感染风险提供重要依据。方法:采用回顾性分析法,收集2015年1月-2018年12月笔者医院接收的431例隆鼻整形患者临床资料,对所有患者随访1年后,根据其术后是否发生感染,将其分为感染组(n=22)及对照组(n=409)。仔细阅览患者病历资料,记录患者术后发生感染情况,设计一般情况调查问卷,详细记录患者一般情况,并将可能的影响因素纳入,经单因素与多因素分析找出术后发生感染可能的影响因素。结果:将可能的影响因素纳入,经卡方检验单因素分析与非条件多项Logistic回归分析检验结果显示,鼻部毛孔粗大、假体修雕不理想、是否有鼻翼软骨处理、术后鼻部碰撞、局部组织张力过大均可能是诱发隆鼻整形患者术后发生感染的危险因素(OR>1,P<0.05)。结论:鼻部毛孔粗大、假体修雕不理想、是否有鼻翼软骨处理、术后鼻部碰撞、局部组织张力过大均可能是诱发隆鼻整形患者术后发生感染的危险因素,临床需重点关注并予以相应干预措施。Objective To investigate and analyze the influencing factors of postoperative infection in patients with augmentation rhinoplasty,and to provide important basis for decreasing the risk of postoperative infection.Methods The clinical data of 431 patients with augmentation rhinoplasty who admitted in the hospital from January 2015 to December 2018 were retrospectively analyzed.All patients were given 1 year of follow-up,and they were divided into the infection group(n=22)and the control group(n=409)according to the presence or absence of postoperative infection.The medical data of patients were carefully reviewed,and the postoperative infection of patients was recorded.The general situation questionnaire was designed,and the general conditions of patients were recorded in detail.The possible influencing factors were included,and the possible influencing factors of postoperative infection were identified through single-factor and multivariate analysis.Results The possible influencing factors were included,the results of chi-square test single-factor analysis and unconditional multiple Logistic regression analysis showed that the coarse nasal pore,unsatisfactory prosthesis carving,presence or absence of nasal alar cartilage treatment,postoperative nasal collision,excessive local tissue tension may be the risk factors for postoperative infection in patients with augmentation rhinoplasty(OR>1,P<0.05).Conclusion The coarse nasal pore,unsatisfactory prosthesis carving,presence or absence of nasal alar cartilage treatment,postoperative nasal collision,excessive local tissue tension may be the risk factors for postoperative infection in patients with augmentation rhinoplasty,and these factors should be paid close attention and given corresponding intervention measures.

关 键 词：鼻整形 假体 感染 局部组织张力 鼻翼软骨 影响因素 

分 类 号：R622[医药卫生—整形外科]