围术期护理在骨关节置换术后感染中的预防作用

Effect of perioperative nursing on prevention of infections after arthroplasty

目的探讨围术期护理干预在骨关节置换术后感染中的预防作用，以降低骨关节置换术后感染的发生率。方法回顾性分析201i年1月-2012年2月在医院骨科实施关节置换手术的131例患者的临床资料，排除术前已发生骨关节感染，严重免疫功能低下、长期使用糖皮质激素的患者，总结手术室预防术后感染的围术期护理措施。结果本组患者手术过程顺利，手术时间2～4h，通过实施优质化的围术期护理，未发生严重的术后并发症，术后无1例感染发生。结论手术室作为预防感染的重要科室，加强感染预防的管理，规范有效的术前、术中、术后护理干预，能积极预防骨关节置换术后感染，提高手术质量，促进患者早期康复。

OBJECTIVE To investigate the effect of perioperative nursing on prevention of infections after arthro- plasty so as to reduce the incidence of the postoperative infections. METHODS The clinical data of 131 patients who underwent the arthroplasty in department of orthopedics from Jan 2011 to Feb 2012 were retrospectively analyzed, the patients with joint infections, severe immunocompromise, or long-term use of glueocortieoids were excluded before the surgery, then the perioperative nursing measures for the prevention of postopera＇cive infections were put forward. RESULTS The surgical procedures of this group of patients were smooth, with the operation duration for 2--4 hours; through the optimized perioperative nursing measures, neither the severe postoperative complications nor the infections occurred. CONCLUSION As the key department for the infection control, the operating room should strengthen the infection prevention and standardize the preoperative, intraoperative, or postoperative nurs- ing inventions so as to actively prevent the post-arthroplasty infections, improve the surgical quality, and facilitate the early rehabilitation.