老年股骨颈骨折患者髋关节置换术后手术部位感染的危险因素分析

Analysis of risk factors for surgical site infection after hip replacement in elderly patients with femoral neck fractures

目的 评估老年股骨颈骨折患者行髋关节置换术后手术部位感染的危险因素,为有效地预防老年股骨颈骨折术后手术部位感染提供参考依据。方法 选取漯河医学高等专科学校第二附属医院2018年1月-2023年3月收治的老年股骨颈骨折患者350例,均行髋关节置换手术治疗,根据术后手术部位感染情况分为感染组22例,未感染组328例;比较2组患者的一般情况、手术方式、手术时间、基础疾病,归纳老年股骨颈骨折患者术后手术部位感染的影响因素。结果 高龄(>80岁)、肥胖、低蛋白血症和糖尿病是老年髋部骨折患者术后感染的危险因素(P<0.05)。结论 高龄、肥胖、低蛋白血症和基础疾病是老年股骨颈骨折患者术后手术部位感染的危险因素,应加强相关监管;对于怀疑手术部位感染的患者,应积极送检病原菌培养,重视真菌及分枝杆菌可提高病原菌检出率。

Objective To evaluate the risk factors of surgical site infection after hip replacement in elderly patients with femoral neck fracture, and to provide a reference for effectively preventing surgical site infection after femoral neck fracture in elderly patients.Methods 350 inpatients with elderly femoral neck fractures who underwent hip replacement surgery in our hospital from January 2018 to March 2023 were selected.According to the postoperative surgical site infection, they were divided into an infection group of 22 cases and a non-infection group of 328 cases;comparison The general conditions, surgical methods, operation time, and basic diseases of the two groups of patients were summarized to summarize the influencing factors of postoperative surgical site infection in elderly patients with femoral neck fractures.Results Old age(>80 years old),obesity, hypoalbuminemia, and diabetes were risk factors for postoperative infection in elderly patients with hip fracture(P<0.05).Conclusion Old age, obesity, hypoalbuminemia, and underlying diseases are risk factors for postoperative surgical site infection in elderly patients with femoral neck fractures, and relevant supervision should be strengthened.Patients with suspected surgical site infection should be actively sent for pathogenic bacterial culture, and attention should be paid to fungi and Mycobacteria can increase the detection rate of pathogenic bacteria.