骨科手术后患者切口感染危险因素分析及创面修复处理对策

目的 总结骨科手术后患者切口感染的危险因素，探讨切口感染的创面修复处理对策。方法选取2018年2月-2023年2月在我院骨科进行手术治疗的1480例患者为研究对象，采用统计方法收集术后感染情况数据，运用Logistic回归分析法对手术切口感染的危险因素进行分析。结果 1480例骨科手术患者中有23例发生切口感染，感染率为1.55%；单因素分析显示，不同年龄、手术切口类型、手术时间、有无基础疾病、围术期用药、手术部位的切口感染发生率比较，差异有统计学意义（P＜0.05）；多因素分析显示手术切口类型（OR=1.462）、年龄（OR=1.526）、手术时间（OR=1.812）、基础疾病（OR=2.340）、围术期用药（OR=1.402）是骨科术后切口感染的影响因素（P＜0.05）。结论 导致骨科手术患者术后切口感染的影响因素较多，包括手术切口类型、年龄、手术时间、基础疾病和围术期用药。对此，应重点关于以上危险因素人群，并予以针对性干预，以期减少骨科手术后切口感染的发生几率。

Analysis of Risk Factors for Incision Infection in Patients After Orthopedic Surgery and Countermeasures for Wound Repair

Objective To summarize the risk factors of incision infection after orthopedic surgery, and to explore the countermeasures for wound repair of incision infection. Methods A total of 1480 patients who underwent surgical treatment in the department of orthopedics of our hospital from February 2018 to February 2023 were selected as the research objects. The data of postoperative infection were collected by statistical method, and the risk factors of surgical incision infection were analyzed by Logistic regression analysis. Results Among the 1480 patients undergoing orthopedic surgery, 23 had incision infection, with an infection rate of 1.55%. Univariate analysis showed that there were statistically significant differences in the incidence of incision infection among different ages, types of surgical incisions, operation time, basic diseases, perioperative medication, and surgical sites (P<0.05). Multivariate analysis showed that incision type (OR=1.462), age (OR=1.526), operation time (OR=1.812), basic disease (OR=2.340), perioperative medication (OR=1.402) were the influencing factors of incision infection after orthopedic surgery (P<0.05). Conclusion There are many influencing factors for postoperative incision infection in patients undergoing orthopedic surgery, including surgical incision type, age, operation time, basic diseases and perioperative medication. In this regard, we should focus on the above risk factors and give targeted intervention in order to reduce the incidence of incision infection after orthopedic surgery