全髋关节置换术后感染的危险因素分析及早期诊断

摘要

Objective To explore the risk factors analysis of infection after total hip replacement and its early diagnosis .Methods 86 patients with total hip replacement were selected ,the clinical data and surgical process were obtained retrospective ,to analysis the risk factors analysis of infection after total hip replacement .Results The age of infected patients with total hip replacement was significantly higher than non-infected patients (P< 0 .05) .The surgery time and postoperative drainage time in infected patients were significantly longer than non-infected patients(P<0 .05) .The risk of infection of patients who had long-term application of hormone ,complicated with diabetes mellitus ,history of hip surgery and lower serum albumin content were significantly higher (P<0 .05) .Intraoperative blood loss ,sex ,patient bone cement application and antimicrobial drug use had no obvious relation with post-operative infection(P>0 .05) .After the early diagnosis and treatment ,the joints function of infected patients were recovery good , and without serious effects .Conclusion The infection after total hip replacement is associated with a variety of factors ,it should give positive prevention in the clinical work .For suspected patients should be early diagnosis ,and should choose suitable treatment according to the patient′s specific situation .%目的：探讨全髋关节置换术后发生感染的危险因素及早期诊断。方法选取全髋关节置换术患者86例，对其临床资料和手术过程进行回顾性分析，分析患者发生术后感染的危险因素。结果全髋关节置换术后发生感染的患者年龄明显高于非感染患者，手术时间及术后引流时间明显长于非感染患者，长期应用激素者、并发糖尿病者、有髋关节手术史者以及血清清蛋白水平较低者术后发生感染的概率明显较高。患者术中出血量、性别、骨水泥应用情况以及抗菌药物使用方案与术后发生感染无明显关系（P＞0．05）。经过早期诊断和治疗，全髋关节置换术后感染者关节功能均获得良好恢复，对关节功能未造成严重影响。结论全髋关节置换术后发生感染与多种因素有关，在临床工作中应给予积极的预防，对于可疑患者应进行早期诊断，并根据患者的具体情况选择适宜的治疗方法。