摘要
目的探究炎性指标检测对全髋关节置换术患者术后感染的诊断价值。方法选取2019年4月-2021年4月于我院行全髋关节置换术患者80例,依据术后感染情况分为感染组(n=42)及非感染组(n=38)。抽取所有患者静脉血,检验血液标本中C反应蛋白(CRP)、白细胞及单核细胞水平。对比两组围术期指标、炎性指标、分析CRP、单核细胞、白细胞单独及联合检测在全髋关节置换术后感染中诊断准确度。结果两组手术时间、体温比较,差异无统计学意义(P>0.05),感染组失血量为(830.52±54.69)ml,多于非感染组的(392.82±48.10)ml,差异有统计学意义(P<0.05);感染组CRP水平为(172.54±30.29)ng/ml、单核细胞计数为(1.36±0.28)×10^(9)/L、白细胞计数为(26.13±2.18)×10^(9)/L,均高于非感染组的(51.14±10.62)ng/ml、(0.60±0.08)×10^(9)/L、(10.10±1.32)×10^(9)/L,差异有统计学意义(P<0.05);CRP检测共检出术后感染77例,单核细胞检出术后感染75例,白细胞检出术后感染75例,联合检测共检出术后感染80例。联合检测在全髋关节置换术后感染诊断准确率高于CRP、单核细胞、白细胞单项检测,差异有统计学意义(P<0.05)。结论炎性指标检测在全髋关节置换术后感染诊断中准确度较高,根据各指标水平高低可有效判断患者病情,从而为临床进一步诊疗提供参考。
Objective:To explore the diagnostic value of inflammatory index detection for postoperative infection in patients undergoing total hip arthroplasty.Methods:80 patients who underwent total hip arthroplasty in our hospital from April 2019 to April 2021 were divided into infection group(n=42)and non-infection group(n=38)according to postoperative infection.The venous blood of all patients was taken to test the levels of C-reactive protein(CRP),leukocytes and monocytes.The diagnostic accuracy of perioperative indicators,inflammatory indicators,CRP,monocyte and leukocyte tests alone and combined postoperative infection after total hip arthroplasty was compared between the two groups.Results:There was no significant difference in operation time and body temperature between the two groups(P>0.05).The blood loss in the infection group was(830.52±54.69)ml,which was higher than(392.82±48.10)ml in the non-infection group,with statistical difference(P<0.05).In the infection group,CRP levels were(172.54±30.29)ng/mL,monocyte count was(1.36±0.28)×10^(9)/L,leukocyte count was(26.13±2.18)×10^(9)/L,which were higher than(51.14±10.62)ng/ml,(0.60±0.08)×10^(9)/L,(10.10±1.32)×10^(9)/L in non-infected group,with statistical difference(P<0.05).Postoperative infection was detected in 77 cases by CRP,75 cases by monocyte,75 cases by leukocyte,and 80 cases by combined detection.The diagnostic accuracy of combined detection for CRP,monocyte and leukocyte was higher than that of single detection,with statistical difference(P<0.05).Conclusion:Inflammatory index detection has high accuracy in the diagnosis of infection after total hip arthroplasty,and the patient's disease can be judged the severity according to the change of its level,which provides a reference for clinical diagnosis and treatment.
作者
苏建华
SU Jian-hua(Shangrao Ruidong Hospital,Shangrao Jiangxi 334000,China)
出处
《透析与人工器官》
2022年第3期23-26,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
全髋关节置换术
C反应蛋白
单核细胞
白细胞
术后感染
诊断价值
total hip arthroplasty
C-reactive protein
monocyte
leukocytes
postoperative infection
diagnostic value
作者简介
通讯作者:苏建华
