摘要
目的探讨骨科无菌手术切口感染发生的手术室相关影响因素。方法收集2014年3月-2018年3月我院收治的1648例骨科无菌手术患者临床资料,调查切口感染发生情况,并分析骨科无菌手术切口感染发生的手术室相关影响因素。结果 1648例患者,46例发生切口感染,感染率为2.79%(46/1648)。单因素分析显示,急诊手术、手术时间≥2 h、腰髋部及下肢手术、Ⅲ类手术切口、接台手术、有植入物、侵入性操作、有参观人员的骨科无菌手术切口感染发生率明显增高(P<0.05),而层流手术室、预防性使用抗菌药物、改良备皮方式的骨科无菌手术切口感染发生率明显降低(P<0.05)。多因素Logistic回归分析显示,急诊手术、手术时间≥2 h、腰髋部及下肢手术、侵入性操作、接台手术、有参观人员均为骨科无菌手术切口感染发生的手术室危险因素(P<0.05),而层流手术室、改良备皮方式则为其保护因素(P<0.05)。结论骨科无菌手术切口感染发生受多种手术室相关因素影响,根据这些危险因素,实施针对性预防护理对策有助于减少切口感染发生。
Objective To explore the causes of incision infections related to the operating room during orthopedic aseptic surgery.Methods The clinical data on 1648 patients undergoing orthopedic aseptic surgery in the hospital between March 2014 and March 2018 were selected to investigate the incidence of incision infections. The operating room related influencing factors of incision infections during orthopedic aseptic surgery were analyzed.Results Among the 1648 patients,46 cases had incision infections,and the infection rate was 2.79%（ 46/1648）. Univariate analysis showed that the incidence of incision infections was significantly higher in case of emergency surgery,surgery that lasted over 2 hours,waist and hip and lower limb surgery,surgery with type Ⅲ surgical incision,consecutive surgery,surgery with implants,invasive procedures and surgery with visitors（ P〈0.05）,but the incidence of incision infections was significantly lower in the laminar flow operating room,after preventive use of antibacterial drugs and improved skin preparation orthopedic aseptic surgery（ P〈0.05）. Multivariate Logistic regression analysis showed that emergency surgery,surgery that lasted more than 2 hours,waist and hip and lower limb surgery,invasive procedures,consecutive surgery and visitors were operating room related risk factors for incision infections in the course of orthopedic aseptic surgery（ P〈 0. 05）,while the laminar flow operating room and improved skin preparation were protective factors（ P〈0.05）. Conclusion There are many factors that influence the occurrence of incision infections in orthopedic aseptic surgery.Targeted preventive nursing measures should be taken according to these risks to reduce the chance of incision infections.
作者
王娟
刘文泸
吴彦
WANG Juan;LIU Wenlu;WU Yan(Operating Room,Dazhou Central Hospital,Dazhou Siehuan 635000,Chin)
出处
《解放军预防医学杂志》
CAS
2018年第7期873-875,889,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
四川省卫计委科研课题(No.2015VK0025)
关键词
骨科
无菌切口感染
手术室
影响因素
预防护理
orthopedics department
aseptic incision infection
operating room
influencing factors
preventivenursing
