High risk factors and preventive interventions of early postoperative fever in children with developmental dislocation hip
HUANG Zhijiao1 HA Yingpeng2▲ LI Guoqing3
1.Operation Room, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;
2.ICU, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;
3.Department of Joint Surgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China
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.
黄之娇1 哈迎鹏2▲ 李国庆3. 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[J]. 中国医药导报, 2020, 17(33): 106-109.
HUANG Zhijiao1 HA Yingpeng2▲ LI Guoqing3. High risk factors and preventive interventions of early postoperative fever in children with developmental dislocation hip. 中国医药导报, 2020, 17(33): 106-109.
[1] 刘帅,张敏刚,李天友,等.3DCT辅助Dega截骨术治疗儿童发育性髋关节脱位术后再脱位[J].中华小儿外科杂志,2019,40(12):1071-1076.
[2] 况振宇,许益文,郑勇,等.股骨大转子长斜形截骨联合人工全髋关节置换术治疗成人高脱位DDH的疗效分析[J].生物骨科材料与临床研究,2019,16(5):55-59.
[3] 韦宜山,刘万林,王海瑞,等.Pemberton骨盆联合股骨近端截骨治疗发育性髋关节脱位术后半脱位风险因素分析[J].中华小儿外科杂志,2019,40(12):1083-1089.
[4] Khalifa AA,Fadle AA,Alzohiry MA,et al. Surgical hip dislocation to treat chondroblastoma of the femoral head by transfoveal curettage and bone grafting [J]. J Musculoskelet Surg Res,2019,3:303-306.
[5] Yang Y,Yu Q,Wang S,et al. Outcomes after total hip arthroplasty using a cementless S-ROM modular stem for patients with high hip dislocation secondary to hip pyogenic arthritis [J]. Orthop Surg,2019,11(3):460-466.
[6] Lu Y,Wu Z,Tang X,et al. Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach [J]. J Int Med Res,2019,47(10):4787-4797.
[7] Baghdadi T,Nejadhosseinian M,Shirkoohi R,et al. DNA hypermethylation of GDF5 in developmental dysplasia of the hip (DDH) [J]. Mol Genet Genomic Med,2019,7(9):e887.
[8] 王贤,尹东,金先跃,等.髋关节外科脱位入路治疗PipkinⅣ型股骨头骨折[J].中华骨与关节外科杂志,2019, 12(6):464-467.
[9] 叶赟,赵滨,陈洪强,等.髋关节外科脱位技术在治疗早期股骨头缺血坏死中的应用观察[J].贵州医药,2019,43(1):65-66.
[10] 邓翔天,刘俊才,陈歌,等.髋关节外科脱位入路治疗塌陷前期股骨头坏死[J].实用骨科杂志,2018,24(9):769-772.
[11] Li H,Ye W,Xu L,et al. Sequential one-stage combined procedure for treating bilateral developmental hip dysplasia after walking age [J]. J Int Med Res,2019,47(7):2901-2909.
[12] Hashmi JA,Basit S,Khoshhal KI. Genetics of developmental dysplasia of the hip:recent progress and future perspectives [J]. J Musculoskelet Surg Res,2019,3:245-253.
[13] Nagano H. Mycobacterium shimoidei,a rare non-tuberculous mycobacteria pathogen identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry [J]. Respirol Case Rep,2019,7(5):e00428.
[14] Yu D,Zhang J,Xu C,et al. Changes in alignment of ipsilateral knee on computed tomography after total hip arthroplasty for developmental dysplasia of the hip [J]. Orthop Surg,2019,11(3):397-404.
[15] Shi X,Li C,Cheng C,et al. Preoperative planning for total hip arthroplasty for neglected developmental dysplasia of the hip [J]. Orthop Surg,2019,11(3):348-355.
[16] Boughton O,Uemura K,Tamura K,et al. Gender and disease severity determine proximal femoral morphology in developmental dysplasia of the hip [J]. J Orthop Surg Res,2019,37(5):1123-1132.
[17] Bolton M,Conolly G,Carroll MJ,et al. A review of the occurrence of inter-colony segregation of seabird foraging areas and the implications for marine environmental impact assessment [J]. Ibis,2019,161(2):241-259.
[18] 谢宗平,金东旭,盛加根,等.髋关节外科脱位术治疗股骨髋臼撞击征的中期疗效[J].中国修复重建外科杂志,2019,33(4):451-454.
[19] 徐陈,官建中.髋关节外科脱位应用进展[J].安徽医药,2018,22(1):17-20.
[20] 杜敏东,刘雄,秦刚,等.髋关节外科脱位头颈开窗打压植骨术联合活血补肾方 治疗中晚期肾虚血瘀型股骨头坏死的临床疗效[J].广西医学,2019,41(22):2821-2824.
[21] 李振伟,黄德刚.外科脱位技术在髋关节相关疾病中的应用进展[J].中国矫形外科杂志,2018,26(11):1022-1025.
[22] 黄玉麟,张应彬,苏保华,等.单侧初次全髋关节置换术围手术期发热特点及其预后分析[J].中华关节外科杂志:电子版,2017,11(2):1-5.
[23] 徐宏文,黎艺强.儿童发育性髋关节脱位开放复位术后的并发症及其处理[J].中华小儿外科杂志,2019,40(12):1057-1061.