ine杂志201701下半期摘要翻译

《ine杂志201701下半期摘要翻译》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、TITLEDoestheTimingofPreoperativeEpiduralSteroidInjectionAffectInfectionRiskAfterACDForPosteriorCervicalFusion?术前硬膜外类固醇注射影响ACDF或PCF术后感染吗？StudyDesign.Aretrospectivedatabaseanalysis.研究设计：回顾性数据库分析。ABSTRACTObjective.Theaimofthisstudywastodeterminewhetheranyassociationex

2、istsbetweenpreoperativecervicalepiduralsteroidinjections(CESIs)atvarioustimeintervalsbeforeanteriorcervicaldiscectomyandfusion(ACDF)orposteriorcervicalfusion(PCF)andtheincidenceofpostoperativeinfection.目的：本研究的目的是确定术前颈椎硬膜外类固醇注射(CESIs)的不同的时间间隔与颈前路椎间盘切除融合术（ACDF）或颈椎后路融

3、合术（PCF）术后感染发生率的关系。ABSTRACTSummaryofBackgroundData.AlthoughinfectiouscomplicationsfollowingCESIareuncommon,theassociationbetweenpreoperativeCESIandpostoperativeinfectionfollowingACDForPCFhasyettobeevaluatedinthecurrentliterature.背景资料：虽然CESI后感染的并发症少见，但PCF或ACDF术前CESI与

4、术后感染之间的关联尚未在文献中进行报道。ABSTRACTMethods.Anationalinsurancedatabasewasutilizedtocomparepostoperativeinfectionrateswithin90daysinpatientswhoreceivedaCESIbeforeACDForPCF.Threecohortswerecreatedforeachprocedure:PCF(n=402)orACDF(n=4354)within3months,PCF(n=586)orACDF(n=5183)

5、between3and6months,andPCF(n=629)orACDF(3648)between6and12monthsfollowingaCESI.ThesecohortswerecomparedwithcontrolcohortswhounderwentPCF(n=61,253)orACDF(n=241,678)withoutpriorCESI.Postoperativeinfectionrateswithin90dayswereassessedusingInternationalClassificationofD

6、isease,9thRevision(ICD-9)andCurrentProceduralTerminology(CPT)codes.Oddsratios(ORs),95%confidenceintervals(95%CIs),andPvalueswerethencalculatedusingSPSS.Amultivariatebinomiallogisticregressionanalysiswasperformedtodeterminetheindependenteffectofpreoperativeinjection

7、onpostoperativeinfectionfollowingACDForPCFcontrollingforknownriskfactorsforinfection,includingage,gender,obesity,diabetes,andsmoking.方法：采用国家保险数据库的数据比较在ACDF或PCF之前接受CESI的患者在90天内的术后感染率。对于每个手术产生三个队列：3个月内的PCF（n=402）或ACDF（n=4354），3个月至6个月之间的PCF（n=586）或ACDF（n=5183）），在6和12个

8、月之间的ACDF（3648）或PCF(n=629)。将这些队列与在没有预先CESI的情况下接受PCF（n=61,253）或ACDF（n=241,678）的对照组进行比较。使用国际疾病分类第9版（ICD-9）和手术术语（CPT）代码评估术后90天内的感染率。然后使用SPSS计算比值比（OR）