摘要
目的调查分析骨科手术患者切口感染的主要影响因素,为骨科临床降低手术后感染率提供参考依据。方法选取2011年6月-2012年12月在医院骨科进行手术治疗的1 816例患者,对其手术相关因素及术后感染情况进行统计分析,分析骨科无菌手术切口感染的危险因素,根据危险因素探讨防治切口感染的措施,采用SPSS 17.0软件包进行统计分析。结果 1 816例骨科手术患者中有16例发生切口感染,感染率为1.54%;老年患者、Ⅲ类手术切口、手术部位在腰腹以下、手术耗时长等因素可导致骨科手术患者切口感染,差异均有统计学意义(P<0.05)。结论导致骨科手术患者术后切口感染的影响因素较多,医护人员在对患者给予骨科手术治疗时,应综合评估患者自身情况、医院感染控制管理规范给予预防性的干预措施,尽可能减少骨科手术后切口感染的发生。
OBJECTIVE To analyze the risk factors for orthopedic surgical wound infections ,so as to provide refer-ence of reducing infection after orthopedic operation .METHODS A total of 1 816 cases with surgery from Jun . 2011 to Dec .2012 in our hospital were selected and statistically analyzed the operation-related factors and situation of postoperative infection .Risk factors of wound infections after aseptic orthopedic surgical were analyzed and based these factors to discuss about preventive measures .SPSS 17 .0 software was used for statistical analysis . RESULTS Among 1 816 patients with orthopedic surgery ,16 cases had wound infections ,accounting for 1 .54% . Elderly patients ,Ⅲ incision operation area ,surgery sites below the waist and abdomen ,long time-consuming operation were the factors that might cause wound infections after orthopedic surgery ,and the difference was sig-nificant （P＆lt;0 .05） .CONCLUSION Many factors can cause incision infections after the surgery ,the doctors and nurses should assess patient general condition during treatment ,according to hospital infection control manage-ment specification to reduce orthopedic surgical wound infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第7期1711-1712,共2页
Chinese Journal of Nosocomiology
基金
浙江省科技厅计划基金项目(2008C33017)
关键词
骨科
手术切口
感染
危险因素
探讨
Orthopedic
Surgical incision
Infection
Risk factors
Analysis
