摘要
目的探讨骨科手术切口感染的原因,对相关因素进行分析并提出护理对策。方法选取2010年7月-2011年6月医院骨科手术患者541例,并对其临床资料进行回顾性分析,从患者自身、手术及用药3个方面分析切口感染的相关因素。结果 541例骨科患者中有24例出现切口感染,感染率为4.43%;经对比发现,自身因素中,年龄≥60与<60岁(2.46%与0.97%)、ASA分级Ⅰ～Ⅱ与Ⅲ(0.98%与6.87%)、血红蛋白水平≥110g/L与<110g/L(0.43%与10.12%)及住院时间≤7d与>7d(0.75%与6.43%)与切口感染相关,差异有统计学意义(P<0.05);手术因素中手术时间≥2h与<2h(1.22%与4.55%)、手术部位颈肩上肢与腰胯部及以下(1.20%与3.10%)、手术类型择期与急诊手术(0.81%与4.14%)与切口感染相关,差异有统计学意义(P<0.05);用药因素中,是否预防性应用抗菌药物(0.66%与0.81%)和围术期用药(1.01%与7.35%)等因素与切口感染相关,差异有统计学意义(P<0.05)。结论骨科手术切口感染的影响因素较多,在围术期应引起重视,及时采取相应的护理措施,预防切口感染的发生。
OBJECTIVE To investigate the causes of orthopedic surgical incision infections and analyze the related factors so as to put forward the nursing countermeasures.METHODS Totally 541 patients who underwent orthopedic surgery from Jul 2010 to Jun 2011 in the hospital were selected,and their clinical data were retrospectively analyzed.The related factors to induce the incision infections were analyzed in the aspect of the surgery,medication and patients′ own condition.RESULTS Of totally 541 patients undergoing orthopedic surgery,the incision infections occurred in 24 cases with the infection rate of 4.43%.In the factors of patients′ own condition,the more than 60 years of age and the less than 60 years of age（2.46% vs 0.97%）,ASA classification of Ⅰ-Ⅱ and Ⅲ（0.98% vs 6.87%）,hemoglobin levels of higher than 110 g/L and lower than 110 g/L（0.43% vs 10.12%）,and hospitalization duration of less than 7 days and more than 7 days（0.75% vs 6.43%） were the factors associated with the incision infections,the difference was statistically significant（P0.05）.In the surgical factors,the operation duration of more than 2 hours and less than 2 hours（1.22% vs 4.55%）,surgical site on neck,shoulder,upper limbs and parts lower the waist hip（1.20% vs 3.11%）,surgical types of elective surgery and emergency surgery（0.81% vs 4.14%） were the factors associated with the incision infections,the difference was statistically significant（P0.05）.In the factors of medication,the prophylactic use of antibiotics（0.66% vs 8.33%） and the perioperative medication（1.06% vs 7.35%） were the factors associated with the incision infections,the difference was statistically significant（P0.05）.CONCLUSION Various factors contribute to the orthopedic surgical incision infections,which should be attached great importance to during the preoperative period.Appropriate and timely nursing interventions play a pivotal role in the prevention of incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第3期554-556,共3页
Chinese Journal of Nosocomiology
关键词
骨科手术
切口感染
护理对策
Orthopedic surgery
Incision infection
Nursing countermeasures
