高龄患者PLIF术后感染的危险因素分析
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摘要
目的:探讨高龄患者腰椎后路PLIF术后发生感染的危险因素。方法:收治PLIF术后发生感染的高龄患者43例。对比同期采取相同的手术方式、高龄、未发生切口感染的患者459例。结果:术前合并糖尿病、高血脂、肥胖中>2个合并症、术中出血>400 m L及术后出现低蛋白血症是高龄患者PLIF手术后感染的危险因素。结论:对于高龄接受PLIF的患者,为避免术后感染的可能,对术前合并糖尿病、高血脂、肥胖中>2个合并症、术中出血>400 m L以及术后出现低蛋白血症的患者,需要格外谨慎,预防术后感染的可能性。
Objective:To investigate the risk factors of postoperative infection in elderly patients with PLIF.Methods:43 elderly patients occurred infection after PLIF treatment.Compared with 459 cases at the same period,were treated with the same operation method,old age and no incision infection.Results:Before operation,there were diabetes,hyperlipidemia,obesity,more than two complications,intraoperative bleeding>400 m L,postoperative hypoproteinemia,which were the risk factors of postoperative PLIF infection in elderly patients.Conclusion:For elderly patients undergoing PLIF,in order to avoid postoperative infection, for preoperative diabetes,hyperlipidemia,obesity,there are more than two complications,bleeding more than 400 m L and postoperative hypoalbuminemia in such patients,they need to be cautious,the possibility of preventing postoperative infection.
Objective:To investigate the risk factors of postoperative infection in elderly patients with PLIF.Methods:43 elderly patients occurred infection after PLIF treatment.Compared with 459 cases at the same period,were treated with the same operation method,old age and no incision infection.Results:Before operation,there were diabetes,hyperlipidemia,obesity,more than two complications,intraoperative bleeding>400 m L,postoperative hypoproteinemia,which were the risk factors of postoperative PLIF infection in elderly patients.Conclusion:For elderly patients undergoing PLIF,in order to avoid postoperative infection, for preoperative diabetes,hyperlipidemia,obesity,there are more than two complications,bleeding more than 400 m L and postoperative hypoalbuminemia in such patients,they need to be cautious,the possibility of preventing postoperative infection.
引文
[1]刘少强,齐强,陈仲强.腰椎术后感染的危险因素及合理防治[J].中华外科杂志,2013,51(12):1128-1132.
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[2]Antoine G,Juan CRO,Fabian B.Infections in spinal instrumentation[J].Int Orthop(SICOT),2012,36:457-464.
[3]Pull ter Gunne AF,Coben DB.Incidence,prevalence,and analysis of risk factors for surgical site infection following adult spinal surgery[J].Spine,2009,34(13):1422-1428.
[4]Klein JD,Hey LA,Yu CS,et al.Perioperative nutrition and post-operative complications in patients undergoing spinal surgery[J].Spine,1996,21(22):2676-2682.
[5]邰俊兵.探析胆结石患者的体重指数与接受胆囊切除手术后感染发生率的相关性[J].当代医药论丛,2014,12(17):243.