| 王天成,黑金璇,项征,等.骨科无菌手术切口感染影响因素及防治对策研究[J].安徽医药,2018,22(8):1533-1535. |
| 骨科无菌手术切口感染影响因素及防治对策研究 |
| Research of influencing factors and control measures for orthopedic sterile surgical wound infections |
| 投稿时间：2017-02-16 |
| DOI： |
| 中文关键词: 骨科无菌手术 切口感染 影响因素 防治对策 |
| 英文关键词: Orthopedic sterial operation Incision infection Influencing factors Control measures |
| 基金项目: |
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| 中文摘要: |
| 目的 分析骨科无菌手术切口感染的影响因素,探讨防治对策,为减少骨科无菌手术切口感染的发生提供依据。方法 对滁州市第一人民医院骨科2013年4月至2015年6月行无菌手术的1 780例患者病例资料进行整理分析,根据患者术后感染情况,比较感染组与非感染组患者在相关因素上的差异,并制定对应的防治措施,数据分析采用SPSS16.0软件。结果 1 780 例无菌手术患者中发生切口感染52例,感染率为2.9%；在分离的73株病原菌中,铜绿假单胞菌所占比例最高(27.40%),金黄色葡萄球菌次之(21.92%)；经多因素分析发现,年龄、体质量指数(BMI)、手术部位、手术切口、卧床时间是骨科无菌手术切口感染的影响因素。结论 骨科无菌手术切口感染的因素主要有年龄、BMI、手术部位、手术切口、卧床时间等,医院相关部门应这针对这些因素采取对应措施,最大限度的降低骨科患者无菌手术切口感染的发生率。 |
| 英文摘要: |
| Objective To analyze the influencing factors and control measures of orthopedic sterile surgical wound infections in order to provide scientific basis for reducing orthopedic sterile surgical wound infections. Methods From April 2013 to June 2015, the clinical data of 1 780 patients who underwent the orthopedic sterile operation in the hospital were analyzed. According to the status of infections, the patients were divided into the infection group and the non-infection group, then the related factors were compared between the two groups and the control measures were analyzed. Results Totally 52 incision infection cases were reported from 1 780 cases and the incision infection rate was 2.9%. In the separation of the 73 strains of pathogenic bacteria, the highest proportion of pseudomonas aeruginosa was 27.40%, staphylococcus aureus was 21.92%. Age, BMI, surgical site, incision and bed time were influencing factors of orthopedic sterile surgical wound infections by multi-factor analysis. Conclusion The infection factors of orthopedic aseptic incision mainly include age, BMI, surgical site, incision, bed time. Hospital departments should take corresponding measures according to these factors and reducing the incidence of patients with orthopedic aseptic incision infection. |
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