摘要
目的探讨骨科手术切口感染相关因素及护理预防措施。方法选择2005年1月-2011年4月医院骨科手术患者1760例作为研究对象,比较切口感染组与无切口感染患者,可能影响切口感染因素的差异。结果发生切口感染50例,感染率2.8%,感染组年龄(55.7±15.1)岁、体质量指数(BMI)为24.8±1.1、营养不良占34.0%、开放性骨折占74.0%、手术时间(11.6±4.2)h、卧床时间(14.3±3.1)d,是切口感染相关因素;非感染组年龄(43.5±13.9)岁、BMI 23.1±0.9、营养不良占20.6%、开放性骨折占35.3%、手术时间(2.2±0.7)h、卧床时间(10.2±3.3)d,两组比较差异有统计学意义(P<0.05),两组性别、切口长度比较差异无统计学意义。结论骨科手术切口感染是多因素作用的结果,应针对危险因素采用针对性预防护理对策。
OBJECTIVE To explore related factors for surgical incision infections in department of orthopaedics and the nursing countermeasures.METHODS From Jan.2005 to Apr.2011,a total of 1760 patients who received orthopaedic surgery were assigned as study objects subjects.The factors that may influence the incision infections in patients with or without incision infections were compared and analyzed.RESULTS Incision infections occurred in 50 cases with the infection rate of 2.8%.The age（55.7±15.1） years,BMI 24.8±1.1,malnutrition（34.0%）,open fractures（74.0%）,operation time（11.6±4.2）h,and bed time（14.3±3.1）d of infection group were respectively higher than the age of（43.5±13.9） years,BMI 23.1±0.9,malnutrition（20.6%）,open fractures（35.3%）,operation time（2.2±0.7）h,and bed time（10.2±3.3）d of the non-infection group,which were the related factors for incision infection,the differences were statistically significant（P0.05）.There were no statistical differences in gender and the length of incision between the two groups.CONCLUSION Surgical incision infection,as a result of multiple factors,can be prevented by adopting nursing countermeasures for the risk factors.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第5期927-928,共2页
Chinese Journal of Nosocomiology
关键词
骨科手术
切口感染
相关因素
护理对策
Orthopaedic surgery
Incision infection
Related factors
Nursing countermeasures
