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感染防控体系构建对创伤性骨折患者围术期院内感染的预防价值研究
引用本文:周葱聪,林楚君,洪静.感染防控体系构建对创伤性骨折患者围术期院内感染的预防价值研究[J].中华全科医学,2022,20(1):165-168.
作者姓名:周葱聪  林楚君  洪静
作者单位:温州医科大学附属第二医院骨科,浙江 温州 325000
基金项目:浙江省教育厅一般科研项目(Y202044407)。
摘    要:目的 感染为创伤性骨折常见的并发症,严重者会危及生命,对创伤性骨折患者院内感染进行有效预防具有必要性,通过探讨构建感染防控体系的价值,为临床预防院内感染提供指导.方法 以随机样本抽样法,在温州医科大学附属第二医院(2019年7月-2020年9月)收治的创伤性骨折患者中,收集88例,以随机数字表法分为对照组(常规干预)、...

关 键 词:院内感染  创伤性骨折  并发症  骨折愈合
收稿时间:2021-01-08

Study on the preventive value of infection prevention and control system for perioperative nosocomial infection in patients with traumatic fracture
Authors:ZHOU Cong-cong  LIN Chu-jun  HONG Jing
Affiliation:Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
Abstract:Objective Infection is a common complication of traumatic fracture,which can be life-threatening in severe cases.It is necessary to effectively prevent nosocomial infection in patients with traumatic fracture.By discussing the value of constructing infection prevention and control system,we can provide guidance for clinical prevention of nosocomial infection.Methods Total 88 patients with traumatic fracture collected in our hospital from July 2019 to September 2020 were randomly divided into control group(routine intervention)and observation group(construction of infection prevention and control system).The nosocomial infection rate,inflammatory factor index,fracture healing and complication rate of the two groups were compared.Results The incidence of nosocomial infection in the observation group(2.27%)was significantly lower than that in the control group(18.18%),the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the level of CRP,IL-1βand TNF-αin the two groups(all P>0.05).After intervention,the levels of CRP(7.89±1.40)mg/L],IL-1β(20.08±3.11)pg/mL]and TNF-α(7.89±1.20)pg/mL]in the observation group were lower than those in the control group(11.01±1.42)mg/L,(25.11±3.34)pg/mL,(12.01±1.40)pg/mL,all P<0.05].The clinical healing rate(93.18%)and fracture healing rate(100.00%)in the observation group were higher than those in the control group(77.27%and 81.82%,all P<0.05).The incidence of complications in the observation group(4.55%)was lower than that in the control group(20.45%,P<0.05).Conclusion The construction and application of infection prevention and control system has a significant effect,which can effectively reduce the incidence of postoperative complications of traumatic fracture and improve inflammatory indexes and fracture healing.
Keywords:Nosocomial infection  Traumatic fracture  Complication  Fracture healing
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