急性手外伤皮瓣移植术后感染的危险因素分析及护理措施

An analysis of risk factors of postoperative infection after skin flap transplantation for acute hand injury

目的探讨急性手外伤皮瓣移植患者术后感染的危险因素及护理措施。方法对2018年6月~2019年6月我院收治的538例急性手外伤患者1563个移植皮瓣进行回顾性分析。采用Logistic回归模型,分析皮瓣移植术后感染的危险因素。结果皮瓣移植手术中患者年龄≥40岁(OR=2.314)、外伤较重(OR=2.513)、创面未清洁(OR=2.682)、未及时就诊(OR=1.531)、伤口污染物多(OR=2.637)与皮瓣面积大(OR=2.359)是术后感染的危险因素。结论在急性手外伤患者皮瓣移植术后的护理中,应针对性地分析患者感染的危险因素,加强对具有危险因素患者的护理,以避免术后感染的发生。

Objective To explore the risk factors of and nursing measures for postoperative infection after skin flap transplantation for the patients with acute hand injury. Methods 1,563 transplanted skin flaps for 538 patients with acute hand injuries admitted to and treated in our hospital from June 2018 to June 2019 were retrospectively analyzed. Logistic regression model was used to analyze the risk factors of postoperative infection after skin flap transplantation. Results In the skin flap transplantations, the risk factors of postoperative infection included the patients’ age≥ 40 years old(OR=2.314), severe trauma(OR=2.513), uncleaned surface of wound(OR=2.682), failure to see a doctor in time(OR=1.531), many wound contaminants(OR=2.637) and large area of skin flap(OR=2.359). Conclusion In the nursing after skin flap transplantation of the patients with acute hand injury, the risk factors of infection in the patients should be analyzed pertinently. The nursing of the patients with risk factors should be strengthened to avoid the occurrence of postoperative infection.