骨科手术后患者切口感染危险因素分析及创面修复处理对策

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【摘 要】目的 总结骨科手术后患者切口感染的危险因素，探讨切口感染的创面修复处理对策。方法选取2018年2月-2023年2月在我院骨科进行手术治疗的1480例患者为研究对象，采用统计方法收集术后感染情况数据，运用Logistic回归分析法对手术切口感染的危险因素进行分析。结果 1480例骨科手术患者中有23例发生切口感染，感染率为1.55%；单因素分析显示，不同年龄、手术切口类型、手术时间、有无基础疾病、围术期用药、手术部位的切口感染发生率比较，差异有统计学意义（P

【关键词】骨科手术；创面修复处理；切口感染；危险因素；预防措施

中图分类号：R622.2 文献标识码：A 文章编号：1004-4949（2023）11-0084-04

Analysis of Risk Factors for Incision Infection in Patients After Orthopedic Surgery and Countermeasures for Wound Repair

XIAO Peng-xian

（Department of Orthopedics， Zunyi Fifth People’s Hospital， Zunyi 563000， Guizhou， China）

【Abstract】Objective To summarize the risk factors of incision infection after orthopedic surgery， and to explore the countermeasures for wound repair of incision infection. Methods A total of 1480 patients who underwent surgical treatment in the department of orthopedics of our hospital from February 2018 to February 2023 were selected as the research objects. The data of postoperative infection were collected by statistical method， and the risk factors of surgical incision infection were analyzed by Logistic regression analysis. Results Among the 1480 patients undergoing orthopedic surgery， 23 had incision infection， with an infection rate of 1.55%. Univariate analysis showed that there were statistically significant differences in the incidence of incision infection among different ages， types of surgical incisions， operation time， basic diseases， perioperative medication， and surgical sites （P

【Key words】Orthopaedic surgery； Wound repair treatment； Incision infection； Risk factors； Preventive measures

骨科患者中绝大部分都需要手术治疗，骨科手术具有以下特点[1，2]：①骨科手术本身对无菌要求很高，且手术切口长、深、出血多；②手术医生操作动作大，手术时间相对长；③骨科器械特殊，损伤性大，内固定物多而复杂，处理难度大；④骨科手术部位多临近重要器官、四肢手术多需要止血带、大部分手术需要电刀；⑤术后常需要外固定，患者年龄跨度大，合并症多；⑥骨科急诊患者多，病情变化快；⑦骨科手术体位较特殊，接触放射线多，术中意外多。（剩余5138字）