骨科无菌手术切口感染相关因素研究及手术室护理对策

目的探讨骨科无菌手术切口感染的相关因素及手术室护理对策,降低骨科手术感染率。方法对本院2009)2010年收治的3634例骨科无菌手术患者资料进行调查,分析导致骨科无菌手术切口感染的相关因素。结果 2009)2010年共发生骨科无菌手术切口感染20例,切口感染发生率为0.55%。其中,2009年为0.61%,2010年为0.50%;在20例切口感染中手术时间>2 h的为13例,1~2 h的为5例,<1h的2例,其构成比依次为65.0%、25.0%、10.0%。结论骨科无菌手术切口感染与手术类型、手术地点、手术部位、手术时间、是否接台手术等手术室因素密切相关,因此在手术室护理工作中采取一系列有效措施,实施手术室护理干预,严格无菌操作,以减少骨科无菌手术切口的感染。

Related factors of orthopedic sterile surgical wound infection and nursing measures of operating room

Objective To explore the risk factors and operating room nursing countermeasures for orthopaedic sterile surgical incision infection, so as to reduce the orthopaedic surgery infection rates. Methods The data of 3 634 aseptic surgery patients from Jan 2009 to Dec 2010 were collected and analyzed. Results The orthopaedic sterile surgical incision infections occurred in 20 （0.55%） cases, and in which, the infection rate was 0.61% in 2009 and 0. 50% in 2010. The operation time more than two hours occurred in 13 cases, one and two hours were in 5 cases, and less than one hour in 5 eases, accounted for 65.0 %, 25.0 % and 20.0 %, respectively. Conclusions The risk factors of orthopaedic sterile surgical incision infection were operation type, surgery location, surgical site and operation time. In order to prevent the incision infection in aseptic surgery, we should pay more attention to the implement of the operating room nursing intervention and should execute the sterile operation.