初次全髋、膝关节成形术后切口引流期延长影响因素的Logistic分析

摘要

Objective:To investigate the influencing factors of extension drainage in primary total hip and knee arthroplasty,to explore the science of drainage methods in primary total hip and knee arthroplasty.Methods:Retrospective analysis of total hip and knee arthroplasty surgery patients with clinical data,with the case-control study,a standardized questionnaire was used for data collection where patients with prolong drainage time in our hospital,the influencing factors were given multi-factor regression analysis in order to find out which factors played independent roles.Results:Four factors was significantly associated with the extention of drainage time in all investigations factors,drainage tube blockage(β=1.205,OR=1.794),drainage tube in the incision location(β=1.443,OR=3.136),drainage way (β=1.392,OR=2.793),replacement method of fluid drainage and drainage bottle(β=1.417,OR=1.744) were significant risk factors. Conclusion:Analysis of the influencing factors of wound drainage time in order to promote wound healing and reduce drainage time.%目的：调查分析初次全髋、膝关节成形术后切口引流期延长的影响因素,探讨人工关节成形术中科学的引流方法。方法：回顾性分析我院收治的全髋、膝关节成形术患者资料,对术后引流期正常患者和延长患者进行对照研究,采用问卷调查方式收集引流期延长情况资料,对调查因素进行单因素分析,明确单因素对延长引流期是否有统计学意义,将有统计学意义的单因素进行Logistic多因素分析,根据OR值判断更具有独立作用的高危因素。结果：调查因素中4个因素与延长引流期显著相关,引流管发生堵塞(β=1.205,OR=1.794),引流管放置位置(β=1.443,OR=3.136),引流方式(β=1.392,OR=2.793),引流瓶与引流液更换方法是否正确(β=1.417,OR=1.744),是导致引流期延长因素中的高危因素。结论：对导致初次全髋、膝关节成形术后切口引流期延长的影响因素进行调查分析,对于术后促进切口愈合及缩短引流期具有重要指导意义。