腰椎手术引流管拔除后发热的病因学分析  

Analysis of risk factors for fever after removal of drainage tube in lumbar spine surgery

作　　者：张亚飞 陈鹏飞 刘继军 ZHANG Ya-fei;CHEN Peng-fei;LIU Ji-jun(Department of Orthopaedics,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China)

机构地区：[1]阜外华中心血管病医院骨科,郑州450000

出　　处：《医药论坛杂志》2025年第5期476-479,共4页Journal of Medical Forum

摘　　要：目的本研究旨在分析腰椎手术引流管拔除后患者发热的相关危险因素。方法回顾性分析自2018年1月—2024年1月于阜外华中心血管病医院行腰椎后路手术治疗的216例腰椎疾病患者,收集患者年龄、性别、体重指数(body mass index,BMI)、手术时间、出血量、融合节段、减压节段、术中应用明胶海绵数量、引流管留置时间、吸烟史、是否合并糖尿病等临床资料并进行统计学分析。结果216例患者,发热组84例,占比38.89%,非发热组132例,占比61.11%,发热组和非发热组患者术中出血量、引流管留置时间、手术时间比较,差异有统计学意义(P<0.05);经多因素logistic回归分析结果显示,术中出血量多和手术时间长是腰椎手术拔管后发热的独立危险因素(OR>1,P<0.05),术后1周内引流管留置时间长是腰椎手术拔管后发热的保护性因素(OR<1,P<0.05)。结论术中出血量多、手术时间长是腰椎手术拔管后发热的危险因素。Objective To analyze the risk factors for fever after extubation in lumbar spine surgery.Methods From January 2018 to January 2024,216 patients were treated with posterior lumbar surgery in our hospital,the clinical data including age,sex,body mass index(BMI),smoking history,diabetes mellitus,operation time,blood loss,fusion seg-ment,decompression segment,the amount of gelfoam sponge used during operation and the time of indwelling drainage tube were collected and analyzed statistically.ResultsA total of 216 patients were included in the study,including 84 patients in the fever group and 132 patients in the non-fever group,the results of multivariate logistic regression analy-sis showed that the amount of bleeding during operation and the duration of operation were independent risk factors for fe-ver after extubation(OR>1,P<0.05),the long time of indwelling drainage tube within 1 week after operation was the protective factor of fever after decannulation(OR<1,P<0.05).Conclusion More bleeding and longer operative time are the risk factors of fever after extubation.

关 键 词：腰椎手术 发热 引流管留置时间 明胶海绵 手术时间 

分 类 号：R687.3[医药卫生—骨科学]