| 下肢骨折外固定器固定术后发生针孔感染的危险因素分析 |
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投稿时间：2015-02-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 柏松 |
BAI Song |
义乌稠州医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Chouzhou Hospital of Yiwu, Yiwu 322000, Zhejiang, China |
baisong2010@139.com |
| 骆立晖 |
LUO Li-hui |
义乌稠州医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Chouzhou Hospital of Yiwu, Yiwu 322000, Zhejiang, China |
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| 吴春云 |
WU Chun-yun |
义乌稠州医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Chouzhou Hospital of Yiwu, Yiwu 322000, Zhejiang, China |
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| 李宗保 |
LI Zong-bao |
义乌稠州医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Chouzhou Hospital of Yiwu, Yiwu 322000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第2期，第154-156页 |
| DOI：10.3969/j.issn.1003-0034.2016.02.014 |
| 基金项目: |
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中文摘要:
目的:探讨下肢骨折外固定器固定术后发生针孔感染的危险因素.
方法:回顾性分析2009年5月至2014年5月,在我院行外固定器固定术的272例下肢骨折患者的临床资料,按照术后针孔感染的发生情况,分为两组.感染组29例,男 23例,女6例;年龄25~77岁,平均(53.41±12.77)岁.对照组243例,男 217例,女 26例;年龄27~78岁,平均(48.71±11.87)岁.将年龄、性别、外固定器固定时间、下肢骨折严重程度、糖尿病、卧床时间、吸烟、其他部位手术情况和其他部位感染情况作为危险因素纳入研究.
结果:两组的年龄(χ2=15.708,P<0.001),外固定器固定时间(χ2=11.940,P<0.001),下肢损伤严重程度(χ2=15.438,P<0.001),糖尿病(χ2=8.519,P=0.004)以及卧床时间(χ2=7.165,P=0.007)比较差异有统计学意义.多因素Logistic回归分析提示:年龄(OR=8.327,P<0.001),外固定器固定时间(OR=6.795,P<0.001),糖尿病(OR=4.965,P=0.001)和卧床时间(OR=4.864,P=0.008)是下肢骨折外固定器固定术后的危险因素.
结论:高龄患者、外固定时间长、患有糖尿病以及长时间卧床使下肢骨折外固定器固定术后发生针孔感染的风险增加. |
| 【关键词】下肢骨折 针孔感染 病例对照研究 危险因素 |
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| Risk factors of pinhole infection in the fractured lower limbs after external fixation:a case-control study |
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ABSTRACT
Objective:To investigate the risk factors of pinhole infection in the fractured lower limbs after external fixation.
Methods:The case-control study was designed. From May 2009 to May 2014,the clinical data of 272 patients with lower limb fracture treated by external fixation device were collected. All the patients were divided into two groups according to postoperative pinhole infection. There were 29 cases in the case group including 23 males and 6 females. The age of patients in case group ranged from 25 to 77 years old,with the average age of(53.41±12.77) years old. There were 243 cases in control group including 217 males and 26 females. The age of patients in the control group ranged from 27 to 78 years old,with the average age of (48.71±11.87) years old. There were nine risk factors observed in our study including age,gender,fixed time by external fixation device,diabetes,time in bed,smoking,operation condition of other parts in the body,infection condition of other parts in the body.
Results:The results of univariate analysis showed that there were statistically significant differences among age(χ2=15.708,P<0.001),fixed time by external fixation device(χ2=11.940,P<0.001),severity of the lower limb fracture (χ2=15.438,P<0.001),diabetes(χ2=8.519,P=0.004) and time in bed (χ2=7.165,P=0.007) between case group and control group. The results of Logistic regression analysis showed that the risk factors of pinhole infection after fixed by external fixation device in the lower limb fracture were the advanced age (OR=8.327,P<0.001),fixed time by external fixation device (OR=6.795,P<0.001),diabetes(OR=4.965,P=0.001) and time in bed(OR=4.864,P=0.008).
Conclusion:The advanced age,long fixed time,diabetes and long time in bed could increase the risk of pinhole infection after external fixation in the lower limbs with fracture. |
| KEY WORDS Lower limb fracture Pinhole infection Case-control studies Risk factors |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 柏松,骆立晖,吴春云,李宗保.下肢骨折外固定器固定术后发生针孔感染的危险因素分析[J].中国骨伤,2016,29(2):154~156 |
| 英文格式: | BAI Song,LUO Li-hui,WU Chun-yun,LI Zong-bao.Risk factors of pinhole infection in the fractured lower limbs after external fixation:a case-control study[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(2):154~156 |
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