开放性骨折患者伤口感染原因分析及预防

Analysis and Prevention of Wound Infection in Open Fracture Patients

目的开放性骨折患者伤口出现感染的原因以及相应的预防措施。方法选择我院2012年5月～2014年5月诊治的668例进行细菌培养的开放性骨折患者，其中130例出现伤口感染，感染率为19.5％，对其伤口感染的情况进行进行。结果通过对所选的患者进行分析，其中62.0％为革兰阴性杆菌感染，32．9％为革兰阳性球菌感染，最多见的部位为胫腓骨骨折和足部骨折，软组织损伤程度及感染的发生率根据轻重度进行划分，轻度、中度、重度分别为10．3％、17．3％、37.7％。结论对于开放性骨折患者及时的应用抗茵药物以及彻底清创，严格按照无菌操作规范进行，确保治疗环境处于无菌条件下，是降低开放性骨折伤口出现感染的有效方法。

Objective The causes of wound infection in open fracture patients and the corresponding preventive measures. Methods 668 cases of open fracture patients were selected from May 2012 to May 2014 in our hospital, including 130 cases of wound infection, the infection rate was 19.5%, of the wound infection was. Results Through the analysis of the selected patients, including 62.0% were gram negative bacilli infection, 32.9% for gram positive cocci infection, the most common site for fracture of tibia and fibula and foot fracture, soil tissue injury degree of residual infection occurrence rate of mild, moderate and severe 10.3%, 17.3% and 37.7%. Conclusion For open fracture patients in a timely manner to the application of antimicrobial agents and thoroughly clean record, strict according to the standard aseptic operation, ensure that the treatment of the environment in sterile conditions, reduce the open fracture wound infection in an effective way.