Therapeutic effect of cluster protection measures on postoperative infection in elderly lumbar disc herniation patients treated with intervertebral foramen mirror surgery
10.3760/cma.j.issn.0254-9026.2020.07.022
- VernacularTitle:集束化防护措施对老年人腰椎间盘突出行椎间孔镜手术后感染的疗效
- Author:
Wenying LIU
1
;
Chunhong ZHANG
;
Shan LIU
;
Guihong YAN
;
Hong YU
Author Information
1. 天津市天津医院骨科 300211
- From:
Chinese Journal of Geriatrics
2020;39(7):825-828
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of cluster protection measures on postoperative infection in elderly lumbar disc herniation patients undergoing minimally invasive surgery by using intervertebral foramen mirror surgery.Methods:A total of 98 elderly lumbar disc herniation patients treated with the surgery in our hospital were enrolled from January 2018 to December 2019.They were randomized into the intervention group(n=49)receiving cluster protection measures and the routine group(n=49)receiving conventional protection measures.The incidences of infection and related indexes after surgery were compared between the two groups.Results:A total infection rate was higher in the routine group [16.33%(8/49)]than in the intervention group [4.08%(2/49)]( χ2=4.009, P=0.045). The operation time, out-of-bed activity time, hospitalization days and surgical blood loss were less in the intervention group than in the routine group[(30.4±1.1) min vs.(101.9±51.1) min, (1.6±0.7) d vs.(3.7±1.2) d, (4.3±0.6) d vs.(13.2±3.8) d, (54.8±7.3) ml vs.(142.7±69.6) ml, t=9.759, 10.193, 15.789 and 8.780, all P=0.000]. Conclusions:Compared with the routine prevention measures, the cluster prevention measures can ensure the perioperative safety, shorten the operation time and reduce surgical blood loss, out-of-bed activity time and hospitalization days.Therefore, after careful perioperative treatment and protection, the cluster prevention measures can relieve pain, restore function, reduce the incidences of postoperative infection and complications, and achieve satisfactory nursing results.
