胫腓骨开放骨折术后术区感染的多因素Logistic回归分析

刘颖

刘颖. 胫腓骨开放骨折术后术区感染的多因素Logistic回归分析[J]. 实用临床医药杂志, 2017, (1): 75-77. DOI: 10.7619/jcmp.201701022
引用本文: 刘颖. 胫腓骨开放骨折术后术区感染的多因素Logistic回归分析[J]. 实用临床医药杂志, 2017, (1): 75-77. DOI: 10.7619/jcmp.201701022
LIU Ying. Multivariate Logistic regression analysis in infection of operation area after operation for open fracture of tibia and fibula[J]. Journal of Clinical Medicine in Practice, 2017, (1): 75-77. DOI: 10.7619/jcmp.201701022
Citation: LIU Ying. Multivariate Logistic regression analysis in infection of operation area after operation for open fracture of tibia and fibula[J]. Journal of Clinical Medicine in Practice, 2017, (1): 75-77. DOI: 10.7619/jcmp.201701022

胫腓骨开放骨折术后术区感染的多因素Logistic回归分析

详细信息
  • 中图分类号: R683

Multivariate Logistic regression analysis in infection of operation area after operation for open fracture of tibia and fibula

  • 摘要: 目的 回顾性研究胫腓骨开放骨折骨折术后术区感染发生的相关危险因素.方法 选择胫腓骨开放骨折患者628例,术后术区感染患者49例(观察组),感染率为7.80%,未发生感染患者579例(对照组).评估感染患者相关危险因素.结果 患者年龄≥60岁、合并基础性疾病≥3种、Ⅲb型骨折分型、内固定方式、未术后引流、彻底清创、皮瓣覆盖创面和住院时间≥3周的感染率分别为20.59%、25.51%、47.73%、23.08%、15.38%、45.35%、23.31%、20.10%;观察组患者受伤至手术时间和手术时间均显著高于对照组(P<0.05).结论 年龄、合并基础疾病、骨折分型、固定方式、术后引流、清创是否彻底、受伤至手术时间、手术时间、住院时间均是胫腓骨开放骨折术后术区感染的相关危险因素.
    Abstract: Objective To explore the related factors of infection in operation area after operation for open fracture of tibia and fibula.Methods A total of 628 patients with open fracture of tibia and fibula were selected.After operation,49 cases with infection in operation area were designed as observation group,and the infection rate was 12.58%,while 579 cases without infection were designed as control group.The risk factors of infection were evaluated.Results The infection rates of the aged over and equal to 60 years old,patients with basic disease ≥ 3 types,Ⅲ b fracture,fixation of external fixation and internal fixation,postoperative drainage,thorough debridement and skin flap to cover the wound and hospitalization time≥ 3 weeks were 45.35%,20.59%,25.51%,47.73%,23.08%,15.38%,23.31% and 20.10% respectively.The injury to operation time and operation time in the observation group were significantly longer than those in the control group (P < 0.05).Conclusion The risk factors of postoperative infection in operation area after open fracture of tibia and fibula were the age,basic disease,fracture classification,fixation,postoperative drainage,debridement and thorough debridement,the time of injury to the operation,operation time,and hospitalization time.
  • 期刊类型引用(8)

    1. 杨超,刘兵,马翔宇,韩宁,薛海鹏,王冠,张志文,韩天宇. Masquelet技术联合抗生素骨水泥涂层髓内钉治疗胫骨干感染性骨不连疗效观察. 创伤与急危重病医学. 2023(03): 162-164+169 . 百度学术
    2. 杨鈜,张陪根,张建寿,王能达. 复杂性胫骨干骨折X射线及CT检查的诊断价值及预后分析. 实用医院临床杂志. 2021(04): 220-223 . 百度学术
    3. 唐犁春. 影响胫腓骨开放骨折患者术后发生术区感染的相关因素分析. 现代医学与健康研究电子杂志. 2021(22): 107-109 . 百度学术
    4. 李婷婷,程亮,赵葵兵,王豫. 开放性胫骨骨折病人层流净化手术室术中切口感染多因素Logistic分析. 全科护理. 2020(30): 4170-4173 . 百度学术
    5. 刘凤珍,莫东霞,莫敏. 胫腓骨骨折围手术期护理研究. 智慧健康. 2019(19): 53-55 . 百度学术
    6. 魏英俊,徐克武,蒋宜伟,张文贤,贾柯. 胫骨骨折内固定术后感染的相关危险因素. 中医正骨. 2018(05): 37-39+42 . 百度学术
    7. 李筱轶,秦瑾,冯忠军,闻海丰. 开放骨折清创术后患者住院费用的多元线性回归分析. 河北医药. 2018(23): 3574-3577 . 百度学术
    8. 吴芬琳,李丽娟,唐雅璇. 基于医疗软件开发课程的社区医院信息管理智能分析系统. 电脑知识与技术. 2017(30): 13-14 . 百度学术

    其他类型引用(2)

计量
  • 文章访问数:  235
  • HTML全文浏览量:  67
  • PDF下载量:  6
  • 被引次数: 10
出版历程

目录

    /

    返回文章
    返回