急诊外科创伤患者切口感染的危险因素分析

Analysis of risk factors and prevention measures of incision infection for emergency trauma

目的研究急诊外科创伤患者切口感染的危险因素,探讨控制预防感染的措施,控制急诊外科创伤切口感染的发生。方法选取2011-2013年急诊外科患者268例,回顾性分析急诊外科创伤患者切口感染的发生率,研究创伤切口感染的危险因素,采用SPSS 13.0软件进行统计分析。结果急诊外科创伤切口感染患者感染率为14.93%,2011-2013年患者切口感染的发生率逐年升高,分别为12.20%、13.98%、18.28%;年龄大、住院时间长、合并其他疾病、切口分类级别高、应用导尿管、手术时间长、医师操作熟练程度不足、未预防性应用抗菌药物等是急诊外科创伤切口感染的危险因素。结论急诊外科创伤切口感染率高,临床应依据急诊外科创伤切口感染的危险因素采取措施,控制切口感染的发生。

OBJECTIVE To analyze the risk factors of incision infection for emergency trauma ,and to provide some knowledge for preventing incision infection for emergency trauma .METHODS Totally 268 patients with emergency trauma were chosen .Incidence of incision infection was retrospectively analyzed .Risk factors of incision infection for emergency trauma were studied .The SPSS 13 .0 software was used for statistical analysis .RESULTS The rate of incision infection for emergency trauma was 14 .93% ,and it was increased year by year during 2011 -2013 . The risk factors of infection included advanced age ,long duration of hospitalization ,accompany with other disea‐ses ,high level of incision classification ,application of catheter ,long operation time ,insufficient physician profi‐ciency and no application of prophylactic antibiotics .CONCLUSION The rate of incision infection for emergency trauma was high .Prevention measures should be taken according to the risk factors of incision infection for emer‐gency trauma to prevent the occurrence of incision infection .