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PLIF手术部位早期感染的危险因素
吴积,王彬彬,于晨,谢浩,江龙海,覃健,刘军
0
(南京医科大学附属逸夫医院)
摘要:
【摘要】 目的 探讨HIV感染者/AIDS患者的病耻感水平并分析其影响因素及其与生活质量相关性。方法 采用一般资料调查表、社会影响量表(SIS)及SF36量表对2016年10月~2017年11月在北京佑安医院性病艾滋病门诊复诊的278例门诊HIV感染者/AIDS患者进行问卷调查并分析。结果 HIV感染者/AIDS患者病耻感标准化总分为(6690±1277) 分,不同婚姻状况、文化程度、月收入、有无稳定住所、HIV感染时间、感染途径的患者病耻感水平比较差异具有统计学意义(P<005)。患者在情感职能、心理健康维度与SIS总分及各维度得分均呈负相关(均P<005)。多元回归分析显示,有无稳定住所、感染时间、感染途径、情感职能及心理健康均与HIV感染者/AIDS患者病耻感相关。结论 HIV感染者/AIDS患者的病耻感水平受多种因素的影响,并与生活质量、情感职能及心理健康方面呈负相关,应引起临床医护人员的重视。
关键词:  PLIF  手术部位  早期感染  危险因素
DOI:
基金项目:国家自然科学基金(81271987)
Investigation of stigma of HIV / AIDS patients and their correlation with quality of life
WU Ji,WANG Binbin,YU Chen,XIE Hao,JIANG Longhai,QIN Jian,LIU Jun
(Yifu Hospital Affiliated to Nanjing Medical University)
Abstract:
【Abstract】 Objective To analyze the associated risk factors of early surgical site infection (SSI) in patients undergoing posterior lumbar interbody fusion (PLIF), providing references for reduce the incidence of postoperative SSI. Methods This article analyzes retrospectively 373 cases of posterior lumbar interbody fusion (PLIF) in the hospital from January 2014 to January 2017. We collected the clinical data of patients, then divided them into infection group (group A) and non infection group (group B) according to the results of postoperative blood culture and MRI. Results The overall rate of early SSI was 294% (11/373). The infection rate increased significantly in patients with these characters, such as age 60 and older, smoking history, complicated with diabetes, operation time more than 180 min, and blood loss over 300ml (P<005). There were no significant difference on gender and drain time of the two groups (P>005). The age, smoking history, history of diabetes, time of operation, intraoperative blood loss were analyzed with multivariate analysis by nonconditional Logistic regression analysis. The results show that smoking history, history of diabetes, time of operation are independent risk factors of PLIF(P<005). In contrast, age and intraoperative blood loss have little to do with PLIF(P>005). Conclusion The retrospective analysis shows that smoking history, history of diabetes, time of operation are independent risk factors of PLIF. The clinicians should focus primarily on these high risk groups, to prevent early infection.
Key words:  Posterior lumbar internal fixation  Surgical site  Early infection  Risk factors

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