骨盆骨折患者术后切口感染危险因素分析

Risk factors of postoperative incisional infection in patients with pelvic fracture

目的探讨骨盆骨折患者术后切口感染的危险因素。方法选取2018年5月—2019年9月医院收治的骨盆骨折患者90例作为研究对象,11例患者发生术后切口感染,采用单因素和多因素Logistic回归分析确定影响骨盆骨折患者术后切口感染的独立危险因素。结果单因素分析结果显示,年龄、体型、糖尿病、ISS评分、髋臼骨折、Morel-Lavallée损伤、手术时机及术中输血量是影响骨盆骨折患者术后切口感染的相关因素(P<0.05);多因素Logistic回归分析结果显示,年龄、体型、髋臼骨折及Morel-Lavallée损伤是影响骨盆骨折患者术后切口感染的独立危险因素(P<0.05)。结论年龄、体型、髋臼骨折及Morel-Lavallée损伤是影响骨盆骨折患者术后切口感染的独立危险因素,护理人员针对以上危险因素制订相应护理干预对策,以降低骨盆骨折患者术后切口感染的发生率。

Objective To investigate the risk factors of postoperative incision infection in patients with pelvic fracture.Methods A total of 90 patients with pelvic fracture admitted in the hospital from May 2018 to September 2019 were selected as the research objects,11 patients occoured postoperative incision infection.Univariate and multivariate Logistic regression analysis was used to determine the independent risk factors for postoperative incision infection in patients with pelvic fracture.Results Univariate analysis showed that age,body type,diabetes,ISS score,acetabular fracture,Morel-Lavallee injury,operation timing and intraoperative blood transfusion volume were the related factors effect the postoperative incision infection in patients with pelvic fracture(P<0.05).Multivariate Logistic regression analysis showed that age,body type,acetabular fracture and Morel-Lavallee injury were the independent risk factors of postoperative incision infection in patients with pelvic fracture(P<0.05).Conclusion Age,body type,acetabular fracture and Morel-Lavallee injury aff ect the independent risk factors of postoperative incision infection in patients with pelvic fracture.Nursing staff should formulate corresponding nursing intervention strategies according to the above risk factors in order to reduce the incidence of postoperative incision infection in patients with pelvic fracture.