Abstract:Objective To analyze the risk factors of chronic infection after total hip replacement,and to provide more reference for reducing postoperative infection rate.Methods A retrospective analysis was made in 1021 patients of joint hip arthroplasty from January 2012 to June 2016 in our hospital.The patients of postoperative chronic infection was the observation group,and the patients with no postoperative chronic infection was the control group.Gender,age,operation time,blood glucose,surgery the content of hemoglobin,preoperative serum albumin and other factors of the patients were compared and statistical analyzed.Results 13 cases of chronic infection in 1021 patients after total hip arthroplasty.The postoperative infection rate was 1.27%.13 strains of bacteria were detected as follows: Staphylococcus aureus (38.46%),Escherichia coli (23.07%),Pseudomonas aeruginosa (15.38%),Staphylococcus epidermidis ( 7.69%),Klebsiella pneumoniae (7.69%),Candida albicans (7.69%).The risk factors of chronic infection after total hip replacement were mainly operative time,blood glucose,hemoglobin content,preoperative preoperative serum albumin (P<0.05).After multivariate Logistic regression analysis,the patient's operation time,blood glucose,preoperative hemoglobin and preoperative serum albumin were the risk factors of infection after artificial hip replacement.Conclusion There are many risk factors for hip arthroplasty after a chronic infection,including patients age,operation time,preoperative serum albumin.Effective preventive measures should beusedaccording to the risk factors in order to reduce the incidence of chronic infection.
蒲川成,冉学军,覃勇志,余江. 人工髋关节置换术后慢性感染的危险因素分析[J]. 实用骨科杂志, 2017, 23(7): 640-642.
Pu Chuancheng,Ran Xuejun,Qin Zhiyong. Analysis of Risk Factors for Chronic Infection after Total Hip Arthroplasty. sygkzz, 2017, 23(7): 640-642.
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