摘要
目的调查并分析开放性四肢骨折术后切口感染现状。方法查阅2017年4月至2019年10月我院骨科397例接受开放性四肢骨折手术患者为研究对象,其中发生术后切口感染66例,分别采取单因素和多因素分析影响术后切口感染的相关因素。结果多因素分析显示,年龄(OR=3.449)、手术持续时间(OR=4.721)、手术时机(OR=6.215)、清创是否彻底(OR=7.287)、张力性水泡(OR=5.048)、免疫抑制剂(OR=4.968)是影响术后切口感染的独立影响因素(P<0.05)。结论患者自身因素、手术因素及药物选择均为导致开放性四肢骨折手术患者术后切口感染的影响因素,医护人员应充分重视并加以预防。
Objective To investigation and analysis of current status of wound infection in patients with open limb fractures after surgery.Methods To select 397 patients who underwent open limb fracture surgery in the Department of Orthopedics of our hospital from April 2017 to October 2019 as the study subjects.Among them,66 cases of postoperative wound infection occurred.Respectively,univariate and multifactor analysis were used to analyze the related factors of postoperative wound infection.Results Multivariate analysis showed that the age(OR=3.449),duration of surgery(OR=4.721),timing of surgery(OR=6.215),thorough debridement(OR=7.287),tension blisters(OR=5.048),and immunosuppressive agents(OR=4.968)were the independent factors affecting postoperative wound infection(P<0.05).Conclusion The patient's own factors,surgical factors,and drug choice were all the influencing factors leading to postoperative wound infection in patients with open limb fracture after surgery.Medical staff should pay full attention to and prevent it.
出处
《护理实践与研究》
2020年第14期70-72,共3页
Nursing Practice and Research
关键词
开放性四肢骨折
术后切口感染
危险因素
护理干预
Open limb fractures
Postoperative wound infection
Risk factors
Nursing intervention
