摘要
目的研究骨科手术后发生切口感染的相关因素,探讨护理对策,以降低或避免骨科手术后切口的感染。方法选择医院2010年2月-2012年2月640例骨科手术患者进行回顾性分析,比较切口感染组和无切口感染组各方面特征,分析发生感染的相关因素。结果 640例骨科手术患者中有68例发生切口感染,感染率为10.6%;其中营养不良、开放性骨折、侵入性操作感染率感染组分别为29.4%、44.1%、32.3%,非感染组分别为9.9%、42.3%、15.0%,感染组年龄、卧床时间、手术时间分别为(51.1±14.8)岁、(15.1±2.7)d、(3.42±0.61)d,非感染组分别为(38.6±13.1)岁、(10.2±1.9)d、(2.20±0.59)d;两组比较差异均有统计学意义(P<0.05)。结论骨科手术后发生切口感染与多种因素密切相关,应高度重视相关因素,采取有效措施,降低或避免切口感染。
OBJECTIVE To analyze the related risk factors for the incision infections after orthopaedic surgery and discuss nursing countermeasures so as to reduce the incidence of the postoperative incision infections. METHODS A total of 640 patients who underwent the orthopaedic surgery from Feb, 2010 to Feb, 2012 were selected and retrospectively analyzed. The characteristics of the infection group and the non-infection group were compared to analyze the factors associated with the incision infections. RESULTS The incision infections occurred in 68 of 640 patients undergoing the orthopaedic surgery with the infection rate of 10.6 %. In the infection group , the patients with malnutritionaccounted for 29. 4%, the patients with open fracture 44.4%, and the patients with invasive operation 32.3% , and which were respectively 9.9% ,42.3%, and 15.0% in the non--infection group . In the infection group the age of the patients was （51.1±14.8） years, the bedridden time（15.1±2.7）d , and operation duration （3.42±0.61）d, which were respectively （38.6±13.1） years ,（10.2±1.9）d , and（2. 20±0.59）d, the difference was statistically signifcant （P〈0.05）. CONCLUSION There are many factors that are related to the incision infections after the orthopaedic surgery, thus it is necessary to attach great importance to the related risk factors and to take effective nursing countermeasures so as to reduce the incidence of incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期342-343,393,共3页
Chinese Journal of Nosocomiology
关键词
骨科手术
切口感染
因素分析
护理对策
Orthopaedic surgery
Incision infection
Factor analysis
Nursing countermeasure
