肋骨骨折固定术后患者在临床治疗中并发肺部感染的影响因素

The Influencing Factors of Pulmonary Infection in the Clinical Treatment of Patients after Rib Fracture Fixation Surgery

摘要: 目的：评估肋骨骨折固定术后患者出现肺部感染可能的相关因素；为肋骨骨折固定术后肺部感染的临床预防和治疗提供一定的依据。方法：入组了23位患者，统计患者性别、年龄、身高体重指数(BMI)、高血压及糖尿病病史。以及患者住院期间体温(T)、白细胞(WBC)、炎症二项等指标、胸部CT的影像学报告结果。结果：肋骨骨折固定术后肺部感染患者中男性患者5人，女性2人，P > 0.05；青年(≥18, ≤40)患者1人，中年(>40, ≤65)患者2人，老年(>65)患者4人，P > 0.05；体重正常(18.5 ≤ BMI < 24)的患者1人，体重超重(BMI > 24)患者3人，P > 0.05；患有高血压的患者2人，无高血压的患者5人，P > 0.05；有糖尿病的患者1人，无糖尿病的患者6人，P > 0.05。结论：不同性别、年龄、身高体重指数、既往高血压或糖尿病病史均不是肋骨骨折固定术后患者出现肺部感染的影响因素。患者是否行肋骨骨折手术对于患者治疗过程中是否并发肺部感染无影响。

Abstract: Objective: To evaluate the possible related factors of pulmonary infection in patients with rib fracture fixation after surgery; and to provide certain basis for the clinical prevention and treatment of pulmonary infection in patients with rib fracture fixation surgery. Methods: 23 patients were enrolled and the statistical data of the patients were collected, including gender, age, body mass index (BMI), history of hypertension and diabetes, as well as the indicators of temperature (T), white blood cells (WBC), inflammation two items and the imaging report results of chest CT during the hospitalization period. Results: Among the patients with post-rib fracture fixation pulmonary infections, there were 5 male patients and 2 female patients, with P > 0.05; 1 patient was young (≥18, ≤40 years old), 2 were middle-aged (>40, ≤65 years old), and 4 were elderly (>65 years old), with P > 0.05; 1 patient had a normal weight (18.5 ≤ BMI < 24), and 3 patients were overweight (BMI > 24), with P > 0.05; 2 patients had hypertension, and 5 did not, with P > 0.05; 1 patient had diabetes, and 6 did not, with P > 0.05. Conclusion: Different gender, age, BMI index, and previous history of hypertension or diabetes are not the influencing factors of pulmonary infection in patients with rib fracture fixation after surgery. Whether the patient undergoes rib fracture surgery has no effect on whether the patient will develop pulmonary infection during treatment.