发育性髋关节脱位患儿术后早期发热的高危影响因素及预防干预对策

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Abstract Objective To explore the risk factors of early postoperative fever in children with developmental dislocation hip (DDH) and preventive intervention measures. Methods Clinical data of 100 children with DDH in the First Affiliated Hospital of Xinjiang Medical University from March 2019 to March 2020 were retrospectively analyzed. According to the occurrence of early fever, they were divided into early fever group (n = 65) and non fever group (n = 35). Clinical indexes of two groups were analyzed and the corresponding preventive measures were put forward. Results There were significant differences in age, body weight and hemoglobin level within one day after operation between two groups (P < 0.05). There were no significant differences in gender, operation time, anesthesia method, chest X-ray results within one day after operation, white blood cell count within one day after operation, C-reactive protein within one day after operation and procalcitonin level within one day after operation between two groups (P > 0.05). The independent risk factor of postoperative fever in children with DDH was hemoglobin ≤ 80 g/L within one day after surgery (P < 0.05). Conclusion The independent risk factor of postoperative early fever in children with DDH is postoperative hemoglobin ≤ 80 g/L. In view of the causes of early fever in children with DDH, nursing intervention measures should be strengthened, which has a positive role in reducing the incidence of early postoperative fever in children.

Key words： Developmental dislocation hip Postoperative early fever High risk influencing factors Preventive intervention Countermeasures

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	HUANG Zhijiao1 HA Yingpeng2▲ LI Guoqing3

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HUANG Zhijiao1 HA Yingpeng2▲ LI Guoqing3. High risk factors and preventive interventions of early postoperative fever in children with developmental dislocation hip[J]. 中国医药导报, 2020, 17(33): 106-109.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I33/106

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