骨科手术切口感染因素与护理措施

目的探讨骨科手术切口感染相关因素及护理措施方法判断切口感染，比较切口感染组与无切口感染患者可能影响因素的差异，相关影响因素的选择包括：年龄、性别、体质量指数（BMI）、营养状态、骨折类型、切口长度、手术时间、卧床时间等结果520例患者中发生手术切口感染21例，感染率为4O％。感染相关因素感染年龄（54．5±132）岁、BM123．5±12、营养不良占33．4％、开放性骨折占73．6％、手术时间（123±42）h、卧床时间（142±32）d是切口感染的危险因素，两组比较差异有统计学意义（P〈0．05）。两组性别、切口长度比较差异无统计学意义结论年龄大、BMI高、营养不艮、开放性骨折、手术时间及卧床时间长，是切口感染的危险因素，加强病区管理，做好营养状况评估，加强BMI高患者切口管理，做好开放性骨折患者术后伤口观察与护理，严格规范化操作，加强基础护理管理是主要的护理对策。，

Objective To explore the relevant factors and nursing countermeasures for Department of orthopedics operation incision infectionMethod Delenatine the infectiou of inci- sion, infection of incision group compared with no incision infection factors were likely to patients, related factors include： age, sex, body mass index （BM1）, nutritional status, type of fracture, incision lenglh, operation time, bed time. Result21 cases of operation incision infection occurred in 520 patients, the infection rate was 4%. The tactors related to the inlec- tion infection age （54.5 ± 13.2） years old, BMI23.5 ± 1.2, malnutrition accounted for 33.4%, open fracture 73.6%, operation time （ 12.3 ± 4.2） h, （ 14.2 ± 3.2） in D were risk factors of wound infection, there was significant difference between two groups （ P 〈 O. 05 ）. The two groups had no statistically significant difference in gender, length of incisionConeluslonAge, BMI, malnutrition, open fracture, operation time and bed time is long, is a risk factor for wound infection, strengthening the management of ward, good nutritional status assessment, strengthening BMI high patients incision management, do a good job in patients with open fracture wound observation and nursing, strict and standard operation, strengthen the basic nursing management is the main nursing countermeasures.