首页|骨科患者手术切口感染的危险因素及护理对策分析

骨科患者手术切口感染的危险因素及护理对策分析

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目的 分析骨科患者手术切口感染的危险因素,总结护理对策.方法 回顾性选取2022年9月—2023年8月菏泽市中医医院行骨科手术的245例患者的临床资料,调查其手术切口感染的发生率.并按是否发生切口感染分为感染组(n=35)和未感染组(n=210),针对骨科患者手术切口感染的危险因素进行单因素分析与Logistic多因素回归分析.结果 245例患者中发生手术切口感染35例(14.29%).感染组开放性创伤、营养不良、合并糖尿病、手术部位为腰髋或下肢、手术时间≥3 h、切口类型为Ⅲ型、切口长度≥10 cm的发生率高于未感染组,差异有统计学意义(P均<0.05).通过Logistic多因素回归分析发现,骨科手术切口感染的独立危险因素包括开放性创伤、手术时间、糖尿病、营养不良、切口类型、手术部位、切口长度(P均<0.05).结论 骨科手术切口感染的危险因素包括开放性创伤、营养不良、糖尿病、手术部位、手术时间、切口类型、切口长度,临床应予以充分的重视并积极采取合理的护理对策确保患者的就医效果与安全.
Risk Factors and Nursing Strategies of Surgical Incision Infection in Or-thopedic Patients
Objective To analyze the risk factors of surgical incision infection in orthopedic patients and summarize the nursing countermeasures.Methods Clinical data of 245 patients undergoing orthopedic surgery in Heze Hospital of Traditional Chinese Medicine from September 2022 to August 2023 were retrospectively selected to investigate the incidence of surgical incision infection.According to the occurence of infection,they were divided into the infected group(n=35)and the uninfected group(n=210).Univariate analysis and Logistic multivariate regression analysis were performed for the risk factors of surgical incision infection in orthopedic patients.Results Among 245 patients,35(14.29%)had surgical incision infection.The incidence of open trauma,malnutrition,diabetes mellitus,operation site of waist and hip or lower limb,operation time≥3 h,incision type Ⅲ,incision length≥10 cm in infected group were higher than those in uninfected group,the differences were statistically significant(all P<0.05).Multivariate Logistic regression analysis showed that the independent factors of incision infection in orthopedic surgery included open trauma,operation time,diabetes,malnutrition,incision type,surgical site and incision length(all P<0.05).Conclusion The risk factors of incision infection in orthopedic surgery include open trauma,malnutrition,diabetes,surgical site,surgical time,incision type and incision length.Clinical attention should be paid to it and reasonable nursing mea-sures should be taken to ensure the medical treatment effect and safety of patients.

Department of orthopedicsSurgical incisionInfectionRisk factorsNursing

朱岩

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菏泽市中医医院感染管理科,山东菏泽 274000

骨科 手术切口 感染 危险因素 护理

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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