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目的:针对髋关节置换术术后手术切口感染的危险因素以及防治措施进行探究。方法:从2012年12月至2014年12月之间在本院接受髋关节置换术的患者中随机选取56例进行观察分析,按照术后是否发生感染将其分成感染组21例和未感染组35例,然后对比分析两组患者的临床病例资料,综合评价导致髋关节置换术术后感染发生的危险因素,并针对性提出有效、可行的防治措施。结果:分析总结发现,导致髋关节置换术术后患者发生感染的危险因素包括有年龄、基础疾病、手术时间、引流时间、术中出血量、病原菌分布以及激素应用情况和术前血清蛋白水平。结论:研究表明,导致髋关节置换术术后患者感染发生的诱因有很多,主要有患者的年龄、激素类药物的应用以及手术的一般情况等,因此临床中要有效防止术后感染的发生,必须针对性提出防治措施,提高髋关节置换术术后患者的临床预后。
Objective: To investigate the risk factors of surgical incision infection after hip arthroplasty and its prevention and treatment. Methods: From December 2012 to December 2014 in our hospital for patients undergoing total hip arthroplasty 56 cases were selected for observation and analysis, according to whether the infection occurred after surgery divided into 21 cases of infection and non-infected group 35 cases. The clinical data of two groups of patients were compared and analyzed. The risk factors of infection after hip arthroplasty were comprehensively evaluated and the effective and feasible prevention and treatment measures were put forward. Results: The analysis concluded that the risk factors of infection in patients after hip arthroplasty include age, underlying disease, operation time, drainage time, intraoperative blood loss, distribution of pathogens, hormonal application and preoperative serum protein levels. CONCLUSIONS: Studies have shown that the causes of infection in patients after hip replacement have many causes, mainly the patient’s age, the application of hormonal drugs and the general situation of surgery, so the clinical should effectively prevent the occurrence of postoperative infection, Must be targeted prevention and treatment measures to improve the clinical outcome of patients after hip replacement surgery.