骨科手术切口感染发生率及相关危险因素分析

摘要

Objective:To investigate the occurrence rate of incisional wound infection and analyze relevant risk factors after orthopedic surgery,so as to reduce the occurrence of postoperative incisional wound infec-tion.Methods:Make retrospective analysis on the clinical data of 1 99 patients hospitalized in some hospital and underwent orthopedic surgery during the period from May 201 1 to May 2014 ,mainly analyze the hospi-talized patients’incisional wound infection probability and analyze the risk factors resulting in incisional wound infection from patients themselves,surgery,postoperative pharmacy and other aspects.Results:The probability of incisional wound infection was 5.23%,in allusion to those who was below 60 years old ,The probability of incisional wound infection was higher than among those who were 60 years old or above.Those who stayed longer than 7 days is more likely to suffer incisional wound infection than those who stayed shor-ter than 7 days,the differences were all statistically significant(P <0.05);to compare those whose duration of operation was 2 hours or longer with those whose was shorter than 2 hours,those who surgery were opera-ted below waist were more likely to be attacked by incisional wound infection compared with those whose surgery were operated in shoulder-neck and upper limbs.the difference was all statistically significant(P <0.05);those who received drug intervention were less likely to suffer incisional wound infection compared with those who did not,the difference was all statistically significant(P <0.05).Conclusion:Incisional wound infection is related to patients’age,length of stay,surgery factors and drug factors,clinically,much attention shall be paid to that.%目的：：探究骨科手术切口感染发生率及相关危险因素分析，以减少术后切口感染的发生。方法：回顾性分析于2011年5月~2014 年 5月在某院住院的行骨科手术治疗的199例患者的临床资料，主要分析入组患者发生切口感染的概率，并从患者本身、手术、术后用药等因素分析患者发生切口感染的危险因素。结果：患者发生切口感染的几率为5.23%；患者年龄≥60岁较<60岁发生切口感染的可能性大，住院时间≥7d 较<7d 发生切口感染的可能性大，差异均具有统计学意义(P <0.05)；手术时间≥2h 与时间<2h 比较，手术在腰部以下进行时切口感染较肩颈上肢部手术感染率高，差异具有统计学意义(P <0.05)；应用药物干预较不用药物治疗的患者切口感染率小，差异具有统计学意义(P <0.05)。结论：患者切口感染与患者年龄、住院时间、手术因素、药物因素均有关系，临床上应引起重视。