摘要
目的查找骨科患者手术部位感染的临床影响因素，探讨预防骨科手术部位感染的措施。方法收集2012年8月1日～2013年7月31日华北石油管理局总医院骨一科所有实施手术的患者。采用干预组合、目标性监测的方法，对无植入物手术患者监测至术后30d，有植入物患者监测至术后1年。将所有调查资料进行归纳整理，进行统计分析，作出诊断性结论。结果共监测骨科手术382例，手术部位感染7例次，感染率为1．83％；Ⅰ类切口、Ⅱ类切口与Ⅲ＋Ⅳ类切口感染率比较（0．64％、4．00％、14．29％），差异有高度统计学意义（x^2=21．8559，P＜0．01）；急诊手术感染率与择期手术感染率比较（9．52％、0．88％），差异有统计学意义（P＜0．01）；开放切口与闭合伤口感染率比较（8．77％、2．62％），差异有高度统计学意义（x^2=13．6875，P＜0．01）。结论骨科手术部位感染与急诊手术、开放伤口和手术切口的清洁程度密切相关。
Objective To find out the clinical influencing factors for orthopedic surgical site infection in patients, and discuss measures to prevent orthopedic surgical site infection. Methods All patients in Department of First Orthopaedics of General Hospital of North China Petroleum Administration from August 1, 2012 to July 31, 2013 were observed using a combination of interventions and target surveillance, patients without implants were monitored to 30 d postoperatively, patients with implants were monitored to 1 year postoperatively. All the survey data were collated and analyzed to statistical analysis, diagnostic conclusions were made. Results SSI occurred in 7 cases and the incidence of SSI was 1.83% in monitoring 382 cases of orthopedics patients, the difference in the incidence of SSI among type I , type 1I, type Ⅲ ＋ type Ⅳ incision （0.64%, 4.00%, 14.29%） was statistically significant （X^2=21.8559, P 〈0.01）; difference between emergency operations and elective surgery （9.52%, 0.88%） was statistically significant （P 〈0.01）; difference between the open wounds and the closed wounds was statistically significant （8.77%, 2.62%） （x^2=13.6875, P 〈0.01）. Conclusion The infection of orthopedic surgical site is closely associated with emergency operation, open wounds and the degree of incision cleanliness.
出处
《中国医药导报》
CAS
2014年第28期144-147,152,共5页
China Medical Herald
基金
中国石油天然气股份有限公司华北油田分公司科技项目(编号2013-HB-G19-4)
关键词
手术部位感染
骨科
目标监测
预防
Surgical site infection
Orthopedic department
Targeted surveillance
Prevention
