闭合性骨盆骨折术后感染相关风险因素的临床分析

Risk factors of postoperative infection in patients with closed pelvic fracture

目的研究导致闭合性骨盆骨折术后感染的相关风险因素。方法回顾性分析我院诊治的闭合性骨盆骨折手术的患者,按条件随机抽取35例为感染组,35例为未感染组,对比分析两组患者包括性别、年龄、手术操作是否规范、抗生素使用、合并糖尿病等导致术后感染的风险因素。结果感染组35例患者中,相比未感染组35例患者,手术操作不规范及并发糖尿病的人数更多,具有统计学意义(p<0.05)。结论闭合性骨盆骨折的手术操作是否规范及患者是否并发糖尿病对骨折术后感染的影响显著,临床上需对闭合性骨盆骨折患者在尽可能预防感染的条件下规范手术操作,且尤其注意糖尿病患者。

Objective To study the risk factors of postoperative infection in patients with closed pelvic fracture. Methods a retrospective analysis of patients with closed pelvic fracture after surgery,who was diagnosed and treated in our hospital. The patients were randomly divided into 35 cases of infection group and 35 cases of uninfected group according to the conditions. Compared postoperative infection risk factors between the two groups,including gender,age,whether the norms of operation,the use of antibiotics and diabetes. Results the number of patients of whether the norms of operation and combined diabetes in infection group were more than that in uninfected group,the differences had statistical significance（ P〈0. 05）. Conclusion the norms of surgical operation and combined diabetes have significant influence on the postoperative infection in closed pelvic fractures patients. The closed pelvic fracture patients need standardized operation as far as possible to prevent infection,and especially pay attention to the patients with diabetes.