骨外科手术切口感染的相关影响因素及防控措施

Related factors and prevention measures of incision infection in bone surgery

目的:探讨骨外科手术患者发生切口感染的影响因素及防控措施。方法:收治行骨科手术患者302例,采用自行设计的量表对可能影响因素进行调查。结果:年龄、切口类型、骨折类型、手术时间、卧床时间和手术部位等差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、BMI和卧床时间等变量进入模型,且差异有统计学意义(P<0.05)。结论:年龄、BMI和卧床时间等是影响骨科术后切口感染的主要原因,应针对上述因素实施防控对策,从而避免或减少切口感染,促进患者早日康复。

Objective:To investigate the influencing factors and prevention measures of incision infection in patients with bone surgery.Methods:302cases with orthopedics operation were selected.A self-designed questionnaire was used to investigate the possible influencing factors.Results:The differences in age,type of incision,type of fracture,time of operation,time of lying in bed and operation part were statistically significant(P<0.05).Multivariate logistic regression analysis showed that age,BMI and bed rest time were entered into the model,and the difference was statistically significant(P<0.05).Conclusion:The main causes of postoperative incision infection in the department of orthopedics including age,BMI and bed rest time,so prevention and control measures should be taken according to the above factors,so as to avoid or reduce incision infection,and promote early recovery of patients.