Иммунологическая реактивность организма у пациентов с коксартрозом в оценке риска развития послеоперационных осложнений при эндопротезировании

Acta Biomedica Scientifica

В. Ф. Лебедев¹  С. Н. Леонова²  Л. А. Дмитриева² 

[1] ГБОУ ВПО «Иркутский государственный медицинский университет» Минздрава России;ФГБНУ «Иркутский научный центр хирургии и травматологии»

关键词: иммунологическая реактивность;    коксартроз;    прогнозирование;    эндопротезирование;   

DOI  :  

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

It is known that research of immune system using separate parameters doesn't allow to estimate it as one. The aim of the work was to find new approaches to the estimation of immune system state for the determination of character and intensity of immunopathological manifestations in patients with hip joint pathology. We examined immune status in 73 patients with degenerative-dystrophic injuries and in 18 patients with posttraumatic hip joint injuries. We found the most significant immunological indices that allow to determine the state of immune reactivity of the patient before the operation. We identified two groups of patients: with presumably "compensated" and "subcompensated" form of immunodeficient state. It was shown that infectious infectious complications in the area of endoprosthesis appear in patients with low immune reactivity on the basis of calculation of equations of linear function in patients with posttraumatic coxarthrosis. The results of the research showed that it's not necessary to analyze many immunological indices to estimate the state of immune reactivity of an organism. Using discriminant analysis allows to reveal the determinant factors that characterize distinctness of Junctional state of immune system of a certain patient and to determine the risk of development of postoperative complications.

【 授权许可】

CC BY