| 关节镜下肩袖修补术后感染的危险因素分析 |
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投稿时间：2022-12-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 来金君 |
LAI Jin-jun |
浙江中医药大学附属江南医院 杭州市萧山区中医院, 浙江 杭州 311201 |
Jiangnan Hospital Affilated to Zhejiang Univesity of Chinese Medicine, Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 俞小红 |
YU Xiao-hong |
浙江中医药大学附属江南医院 杭州市萧山区中医院, 浙江 杭州 311201 |
Jiangnan Hospital Affilated to Zhejiang Univesity of Chinese Medicine, Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 胡云根 |
HU Yun-gen |
浙江中医药大学附属江南医院 杭州市萧山区中医院, 浙江 杭州 311201 |
Jiangnan Hospital Affilated to Zhejiang Univesity of Chinese Medicine, Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 毕大卫 |
BI Da-wei |
浙医二院国际医学中心, 浙江 杭州 311215 |
The Second Affiliated Hospital Zhejiang University School of Medicine International Medical Center, Hangzhou 311215, Zhejiang, China |
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| 韩雷 |
HAN Lei |
浙江中医药大学附属江南医院 杭州市萧山区中医院, 浙江 杭州 311201 |
Jiangnan Hospital Affilated to Zhejiang Univesity of Chinese Medicine, Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
hallen505@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第4期，第348-351页 |
| DOI：10.12200/j.issn.1003-0034.2023.04.010 |
| 基金项目:浙江省医药卫生科技计划(编号:2021RC026,2023KY231)；浙江省中医药科技计划项目(编号:2022ZB297) |
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中文摘要:
目的： 探讨关节镜下肩袖修补术后感染的危险因素,为降低感染发生提供依据。
方法： 对2019年1月至2022年1月采用关节镜下肩袖修补治疗的2 591例肩关节镜下肩袖修补术后患者的临床资料进行回顾性分析,其中男1 265例,女1 326例;年龄25~82(51.5±15.6)岁。按照术后是否发生感染分为感染组(n=18)和未感染组(n=2 573),记录两组患者性别、年龄、是否吸烟、有无糖尿病、身体质量指数、术前1个月内是否进行局部封闭、手术时间、是否预防性使用抗生素、是否有内固定置入等,应用单因素Logistic回归分析筛选出术后感染的危险因素,再将有统计学意义的危险因素纳入多因素Logistic回归分析,筛选出关节镜下肩袖修补术后感染的独立危险因素。
结果： 本组2 591例患者中,术后发生感染18例,感染率为0.69%,单因素分析结果显示性别、年龄、手术时间、预防性使用抗生素、内固定置入是关节镜下肩袖修补术后患者发生感染的危险因素。多因素Logistic分析显示男性(OR=14.227)、年龄≥ 65岁(OR=34.313)、手术时间≥ 2 h (OR=15.616)、未预防性使用抗生素(OR=4.891)以及有内固定置入(OR=5.103)是关节镜下肩袖修补术后感染的独立危险因素(P<0.05)。
结论： 男性、年龄≥ 65岁、手术时间≥ 2 h、未预防性使用抗生素以及有内固定置入是关节镜下肩袖修补术后感染的独立危险因素,临床应早期诊断和及时处理,降低感染发生率。 |
| 【关键词】肩袖损伤 关节镜检查 感染 危险因素 |
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| Risk factors for infections after arthroscopic rotator cuff repair |
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ABSTRACT
Objective To explore risk factors for infections after arthroscopic rotator cuff repair,and improve the under standing for reducing infection.
Methods Clinical data of 2 591 patients who underwent arthroscopic rotator cuff repair from January 2019 to January 2022 were retrospectively analyzed,including 1 265 males and 1 326 females,aged from 25 to 82 years old with an average age of (51.5±15.6) years old. They were divided into infection group(n=18) and uninfected group(n=2 573) according to whether or not patients had postoperative infection. Gender,age,smoking,diabetes,body mass index,local closure within 1 month before operation,operation time,preventive use of antibiotics,and internal fixation implantation between two groups were recorded. Univariate Logistic regression analysis screened factors associated with infections after arthroscopic rotator cuff repair. The results were entered into the multivariate logistic regression analysis,screening the high risk factors for infections after arthroscopic rotator cuff repair.
Results In 2 591 patients,18 patients were infected after operation,infection rate was 0.69%. Univariate Logistic regression analysis showed that gender,age,operation time,antibiotic prophylaxis,internal fixation implantation were risk factors for infections after arthroscopic rotator cuff repair. Multivariate Logistic regression analysis showed male(OR=14.227),age ≥ 65 years(OR=34.313),operation time ≥ 2 h (OR=15.616),without antibiotic prophylaxis(OR=4.891),and internal fixation implantation(OR=5.103) were major risk factors for infection after arthroscopic rotator cuff repair(P<0.05).
Conclusion Male,age ≥ 65 years,operation time ≥ 2 h,without antibiotic prophylaxis and internal fixation implantation were independent risk factors for infection after arthroscopic rotator cuff repair. Early diagnosis and timely treatment should be carried out to reduce the incidence of infection. |
| KEY WORDS Rotator cuff tear Arthroscopy Infection 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: | 来金君,俞小红,胡云根,毕大卫,韩雷.关节镜下肩袖修补术后感染的危险因素分析[J].中国骨伤,2023,36(4):348~351 |
| 英文格式: | LAI Jin-jun,YU Xiao-hong,HU Yun-gen,BI Da-wei,HAN Lei.Risk factors for infections after arthroscopic rotator cuff repair[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(4):348~351 |
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