儿童骨科术后感染危险因素筛查方法及结果研究

Research on Screening Method and Results of Infection Risk Factors in Children after Operation in the Department of Orthopaedics

因为儿童患者较为特殊,表达力、耐受力差、烦躁好动,损伤后骨骼往往需要植入内固定物、以及手术用时很长和开放伤口易于受到污染等原因,使得手术之后被感染的机会更大。应当对骨科手术之后出现的感染现象和引发感染的各项危险因素进行全面分析,只有这样,才能有针对性、有目标地对高危人群实施预防办法,并对感染患者给出更有效、更合理的抗感染治疗措施。危险因素筛查需要的参考标准是患者手术后感染的相关标准和SIRCH评分标准。儿童骨科术后常见感染危险因素为患者年龄、糖尿病史、以及皮肤黏膜出现糜烂现象、肥胖指数BMI和低蛋白血症。另外,若患者发生术后感染,应针对性地选择抗菌药物,做到个体化用药。

Because the children is special, and the expression and tolerance are bad and they are upset, the bone usuallyneeds to implant the internal fixation, and the operation time is long and the open wound is easy to pollute, the chance of infection after operation is bigger, and we should comprehensively analyzes the infection phenomenon and various risk fac-tors of infection after operation in the department of orthoaedics, only in this way can we implement the targeted preventive method of high-risk population, and conduct the more effective and rational anti -infection treatment measures, and the screening of risk factors should refer to the related standards of infection after operation and SIRCH scoring system, and the common infection risk factors in children after operation in the department of orthopaedics is the age,diabetes history, obesi-ty index and hypoproteinemia, in addition, if the postoperative infection occurs, the patients should pointedly choose the an-tibacterials and do a good job in the individual medication.