Objective To investigate the acute wound infections in elderly patients in department of traumatology demographically. Method The demographical features and clinical factors involving the acute wound infections in 288 elderly patients from the department were reviewed and analyzed focusing on the wound infections. Results Among all the patients, 37 had wound infections, with the incidence of 12.8%. Demographically, the infection incidences among the male, less-educated and smokers were all significantly higher than those among the female, more-educated, and nonsmokers (P < 0.05). In terms of clinical factors, the incidences among those with open wounds, multi-wounds, no aneasthesia, shock or wound treatment at shorter time or higher blood glucose level were significantly higher (P < 0.05). Conclusions The wound infections vary among the elderly patients in terms of demography and clinical factors. The nurses are supposed to assess the wounds, monitor their blood glucose level, treat them by anti-shock and aneasthesia, and shorten the time for initial wound treatment so as to lower the incidence of wound infections.%目的：探讨不同人口学特征和临床因素资料急性创伤骨科老年患者创面感染发生情况，以期为临床急性创面治疗和护理提供参考。方法对288例急性创伤骨科老年患者的人口学特征和临床因素资料进行总结和归纳，并了解其创面感染发生情况。结果288例患者有37例发生创面感染，发生率为12．8％。在人口学特征方面，男性、文化程度低和吸烟患者，其急性创面感染发生率高于女性、文化程度高和无吸烟患者（均P＜0．05）；在临床因素资料方面，开放性创伤、合并多发伤、无镇痛、创面污染、休克、创面首次处理时间短、无使用抗菌素、受伤部位在四肢及创伤后血糖水平较高患者，其急性创面感染发生率较高（均P＜0．05）。结论不同人口学特征及临床因素资料急性创伤骨科老年患者创面感染发生情况存在差异。护理人员要准确评估创伤骨科老年患者创面情况，加强血糖水平监测、积极抗感染及休克和镇痛、缩短创面首次处理时间，从而降低创面感染发生。
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