摘要
目的探讨术前血清白蛋白水平预测高龄患者全髋、膝关节置换术后切口并发症的价值。方法选取2020年6月至2023年6月接受全髋或全膝关节置换术的高龄患者180例,收集患者的基本资料,观察术后两周内切口并发症的发生情况,分析术前血清白蛋白水平与切口并发症发生率的相关性。结果180例患者中,有7例(3.89%)发生术后切口并发症(切口并发症组),173例(96.11%)未发生切口并发症(无切口并发症组)。相关性分析结果显示,术前血清白蛋白水平与切口渗液发生呈负相关(P=0.03)。ROC曲线分析结果表明,术前血清白蛋白水平预测术后切口并发症的曲线下面积(AUC)为0.69,特异度为70.8%,敏感度为74.2%。结论术前血清白蛋白水平较低的高龄患者在全髋、膝关节置换术后更易发生切口并发症。术前血清白蛋白水平可作为预测切口并发症发生风险的生物学指标,为临床术前风险评估及早期干预提供参考。
Objective To explore the value of preoperative serum albumin levels in predicting incision complications after total hip or knee arthroplasty in elderly patients.Methods A total of 180 elderly patients who underwent total hip or knee arthroplasty between June 2020 and June 2023 were selected.Basic patient data were collected,and the occurrence of incision complications within two weeks postoperatively was observed.The correlation between preoperative serum albumin levels and the incidence of incision complications was analyzed.Results Among the 180 patients,7(3.89%)developed postoperative incision complications(the incision complication group),while 173(96.11%)had no incision complications(the non-complication group).Correlation analysis revealed a negative association between preoperative serum albumin levels and incision exudation(P=0.03).The Receiver Operating Characteristic(ROC)curve analysis showed that the area under the curve(AUC)for preoperative serum albumin levels in predicting postoperative incision complications was 0.69,with a specificity of 70.8%and a sensitivity of 74.2%.Conclusion Elderly patients with lower preoperative serum albumin levels are more prone to incision complications after total hip or knee arthroplasty.Preoperative serum albumin levels can serve as a biological marker for predicting the risk of incision complications,providing a reference for preoperative risk assessment and early clinical intervention.
出处
《浙江临床医学》
2025年第7期1059-1060,共2页
Zhejiang Clinical Medical Journal
