骨科无菌手术切口感染原因与手术室护理分析

目的 探讨本院骨科无菌手术治疗后切口感染原因,并提出有针对性的手术室护理措施.方法 选择骨科住院接受无菌手术治疗的患者586例,分析引起患者术后切口感染的病原菌类型及相关危险因素.结果 586例患者经治疗共39例患者发生术后切口感染,术后切口感染率为6.66％.切口分泌物培养出的细菌主要为金黄色葡萄球菌(46.43％)、凝固酶阴性葡萄球菌(25.00％)、铜绿假单胞菌(14.29％)等.年龄≥60岁、合并糖尿病、手术时间≥3h、接台手术、参观人数≥3人时,骨科无菌手术患者术后感染率会明显升高,以上因素是引起骨科无菌手术切口感染的危险因素.结论 骨科无菌手术切口感染的高危因素较多,应结合患者具体情况采取有针对性的护理干预,以降低术后感染率.

Analysis on the causes of incision infection and operation room nursing in department of orthopedics aseptic operation

Objective To investigate the causes of incision infection after aseptic operation in department of orthopedics of our hospital,and put forward some pertinent nursing measures in operation room.Methods 586 patients undergoing aseptic operation in department of orthopedics were analyzed,and the types of pathogens and related risk factors of postoperative wound infection were analyzed.Results There were 39 cases of postoperative incision infection in 586 patients,with the incision infection rate of 6.66％.Bacteria cultured from wound secretion were mainly staphylococcus aureus (46.43％) and coagulase negative staphylococcus (25.00％),pseudomonas aeruginosa bacteria (14.29％).Age equal to or greater than 60 years old,diabetes,operation time equal to or more than 3 hours,consecutive operation,visitors'number equal to or more than 3,were risk factors of orthopedic surgical incision infection.Conclusions There are many high risk factors for the incision infection of aseptic operation in department of orthopedics.We should adopt targeted nursing intervention according to the specific situation of patients to reduce the infection rate.