骨科Ⅰ类切口感染调查分析

Survey of Orthopedic Patients with Type Ⅰ Incision Infection

目的对既往骨科Ⅰ类切口感染病例进行调查,分析相关因素,为降低感染发生率提供依据。方法对郑州市骨科医院2005年1月-2006年12月接受Ⅰ类切口手术的所有病例进行回顾性分析。结果7962例Ⅰ类切口手术病例中感染57例,感染率0·72%;男性感染率高于女性(P<0·05),年龄≥60岁感染率增加(P<0·01)。≥60岁病例中女性患者比率明显增高(P<0·00);术前住院天数>5天感染率增高。下肢尤其胫腓骨和跟骨手术感染率较高(P<0·01)。结论应加强监测,针对相关因素采取措施,降低Ⅰ类切口感染率。

Objective To summarize the factors causing surgical site infection after orthopedic operation with type Ⅰ incision, put forward prevention measures to control incision infection and reduce the infection rate in orthpedic hospital. Methods Some data were collected from discharged patients＇medical records within the period from Jan 2005 to Dec 2006 ,and infected cases with type Ⅰ incision were retrospectively investigated and analyzed. Results 57 cases of surgical site infection were reported from 7962 patients with type Ⅰ incision. The hightest infection rate were found after lower limb operation（ P 〈 0.01 ）, and from male （ P 〈 0. 05 ）, elderly groups （ P 〈 0. 01 ）. Conclusion The surgical site infection after orthopedic operation with type Ⅰ incision is closely related to factors such as incision site, age, sex, operation time, and the time before operation. Effective measures should be taken accordingly to reduce the infection.