创伤骨科手术过程感染的预防与控制分析

目的 研究创伤性骨科手术过程中感染的预防与控制,探讨采取干预措施后对降低感染风险的临床效果.方法 将我院2010年4月-2011年11月收治的120例接受骨科手术的病人随机分为干预组(62例)和对照组(58例),对照组采用常规方法控制感染,干预组在常规方法的基础上采取前瞻性干预措施控制感染.结果 干预组的患者无手术后感染的病例,而对照组的发生率为8.6％,两组比较差异具有统计学意义(P＜ 0.05);对照组和干预组患者的住院天数分别为(28.29±9.7)天和(21.54±8.9)天,两组比较差异具有统计学意义(P＜ 0.05).结论 应重视创伤性骨科手术感染的危险因素,积极实施干预措施,可以显著降低感染的发生率,缩短住院时间,是预防和控制创伤性骨科手术感染的有效方法,值得进行临床推广.

Prevention and control of infection in traumatic orthopedic surgery

Objective To study prevention and control of infection in traumatic orthopedic surgery and to explore the clinical effect of reducing the risk of infection after taking intervention measures. Methods 120 patients undergoing traumatic orthopedic surgery were randomly divided into intervention group （ 62 patients ） and control group （ 58 patients ）. The control group received conventional methods for controlling infection, while the intervention group received prospective intervention measures in addition to conventional methods. Results The rate of patients without postoperative infection differed significantly between the intervention group and the control group （ 0% vs. 8.6%, P〈 0.05 ）. There was a significant difference between the control group and the intervention group in length of hospital stay [（ 28.29 ±9.7 ） vs. （ 21.54 ±8.9 ）, P 〈 0.05]. Conclusions We should focus on the risk factors of infection caused by trnumatic orthopedic surgery. Active intervention measures can effectively reduce the rate of infection and shorten length of hospital stay. It is worth popularizing clinically.