骨科手术术后切口感染的相关因素及护理干预对策分析简

目的 探讨骨科手术术后切口感染的相关因素以及护理干预对策.方法 选择2005年1月～2012年6月浙江省永康市骨科医院骨科手术切口感染患者66例作为观察组,按照1∶2比例选择同期未发生切口感染的132例骨科患者作为对照组,比较两组患者年龄、侵袭性操作、预防应用抗生素、住院时间、营养不良、手术时间等相关因素的差异.结果 观察组年龄（60.45±15.30）岁]、侵袭性操作率（57.58％）、预防应用抗生素率（86.36％）、住院时间（23.56±6.12）d]、营养不良率（33.33％）及手术时间（185.32±28.24） min]均高于对照组（53.69±16.21）岁、30.30％、51.52％、（15.69±5.12）d、14.39％、（110.56±20.57）min],两组相比,差异均有统计学意义（均P＜0.05）.结论 影响骨科术后感染的因素主要有年龄、侵袭性操作、滥用抗生素、医院感染、营养不良及手术时间等.因此,实施相应的正确的护理干预可有效减少切口感染的发生.

Related factors and nursing intervention analysis of incision infection after operation in Department of Orthopedics

Objective To explore the related factors and nursing intervention of incision infection after operation in Department of Orthopedics.Methods 66 cases with incision infection of orthopedic surgical in Orthopedic Hospital of Yongkang City from January 2005 to June 2012 were selected as the observation group,and 132 cases without incision infection were selected as the control group in accordance with the proportion of 1∶2 during the same period,then age,invasive operation,preventive use of antibiotics,length of hospital stay,malnutrition,duration of surgery,and other related factors between the two groups of patients were compared.Results Age （60.45 ＋15.30） years],invasive operation （57.58％）,preventive use of antibiotics （86.36％）,length of time （23.56±t6.12） d],malnutrition （33.33％） and operation time （185.32＋28.24） min] of the observation group were higher than those of the control group （53.69＋16.21） years,30.30％,51.52％,（15.69±5.12） d,14.39％,（110.56±20.57） min],all the differences were statistically significant （all P ＜ 0.05）.Conclusion Factors affecting the orthopaedic postoperative infection mainly include age,invasive operation,abuse of antibiotics,hospital infections,malnutrition and operation time and so on.Therefore,the implementation of the corresponding correct nursing intervention can effectively reduce incision infection.