关节置换术后深部感染的相关因素分析

Related Factors Analysis of Incision Infection After Joint Replacement

目的 探讨人工关节置换术后深部感染的相关危险因素.方法 对2009年1月～2013年1月来我院进行人工关节置换术的患者进行回顾性分析,选取与医院感染相关的8种因素进行分析,包括性别、年龄、有无糖尿病、有无低蛋白血症、有无中重度贫血、手术时间、术前住院时间和麻醉方式.结果 经统计分析,发现患者的年龄、有无糖尿病、有无低蛋白血症、有无中重度贫血、手术时间和术前住院时间是人工关节置换术深部感染的危险因素（P＜0.05）;而患者的性别和麻醉方式与人工关节置换术深部感染无关（P＞0.05）.结论 关节置换术深部感染与患者的多种因素相关,应对其进行重点预防,同时加强无菌操作和手术室的感染管理,将术后深部感染降到最低,提高患者的生命质量.

Objective To analyze related factors of incision infection after joint replacement. Methods Patients with joint arthroplasty from January 2009 to January 2013 in our hospital were analyzed retrospectively. Select 8 kinds of factors related to hospital infection, including gender, age, diabetes, hypoalbuminemia, presence of moderately severe anemia, operation time, preoperative hospitalization time and ways of anesthesia. Results After statistical analysis, we found that the patients＇ age, diabetes, hypoalbuminemia, presence of moderately severe anemia, surgery and preoperative hospitalization time are risk factors for joint arthroplasty infection of incision（P〈 0.05）. And the sex of the patients and anesthesia had nothing to do with joint arthroplasty infection of incision（P〉 0.05）. Conclusion Joint replacement incision infection in patients has a variety of related factors. We should focus on prevention in order to strengthen the management of aseptic operation and operating room infection at the same time, minimize postoperative incision infection, and improve the patients＇ quality of life and health.