本文選題：橈骨遠端骨折　切入點：切口感染　出處：《中華醫(yī)院感染學雜志》2017年13期 　論文類型：期刊論文

【摘要】：目的探討影響橈骨遠端骨折患者術后切口感染的相關因素及預防措施,為預防橈骨遠端骨折術后切口感染提供指導。方法選取2014年6月-2016年6月醫(yī)院上肢損傷科收治的328例行切開復位鎖定鋼板加壓內(nèi)固定治療的橈骨遠端骨折患者為調(diào)查對象,觀察患者術后切口感染發(fā)生情況,應用單因素及Logistic多因素分析影響橈骨遠端骨折術后切口感染的相關因素。結果 328例患者術后切口感染68例,切口感染率為20.73%;經(jīng)單因素分析可知,年齡≥60歲、體質(zhì)量指數(shù)(BMI)≥25kg/m2、手術季節(jié)為春夏季、合并糖尿病、合并高血壓、合并高血脂、AO橈尺骨遠端骨折分類為C3型、手術時間≥120min、全麻手術、非隔離病房、切口類型Ⅲ類、未預防應用抗菌藥物的術后切口感染率,明顯高于年齡60歲、體質(zhì)量指數(shù)(BMI)25kg/m2、手術季節(jié)為秋冬季、未合并糖尿病、未合并高血壓、未合并高血脂、AO橈尺骨遠端骨折分類為C1型、手術時間120min、硬膜外麻醉、隔離病房、切口類型Ι型、預防應用抗菌藥物的術后切口感染率,差異有統(tǒng)計學意義(P0.05);經(jīng)Logistic多因素分析可知,年齡≥60歲、AO橈尺骨遠端骨折分類為C3型、合并糖尿病、全麻手術、切口類型Ⅲ類是橈骨遠端骨折術后切口感染的獨立危險因素(P0.05),而術前預防應用抗菌藥物則是保護因素。結論對于橈骨遠端骨折術后切口感染的高危患者術前應充分評估患者身體狀況及預防應用抗菌藥物,選擇合適的麻醉方式,減少Ⅲ類切口將有助于降低患者術后切口感染風險。
[Abstract]:Objective to investigate the related factors and preventive measures of postoperative incision infection in patients with distal radius fracture. Methods from June 2014 to June 2016, 328 patients with distal radius fractures treated with open reduction and locking plate compression and internal fixation were selected. The incidence of postoperative incision infection was observed. Univariate and Logistic multivariate analysis was used to analyze the related factors of postoperative incision infection of distal radius fracture. Results there were 68 cases of incision infection after operation in 328 patients. The incision infection rate was 20.73. Univariate analysis showed that age 鈮，

本文編號：1604426