本文選題：橈骨遠(yuǎn)端骨折　切入點(diǎn)：切口感染　出處：《中華醫(yī)院感染學(xué)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(yuǎn)端骨折患者術(shù)后切口感染的相關(guān)因素及預(yù)防措施,為預(yù)防橈骨遠(yuǎn)端骨折術(shù)后切口感染提供指導(dǎo)。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(fù)位鎖定鋼板加壓內(nèi)固定治療的橈骨遠(yuǎn)端骨折患者為調(diào)查對(duì)象,觀察患者術(shù)后切口感染發(fā)生情況,應(yīng)用單因素及Logistic多因素分析影響橈骨遠(yuǎn)端骨折術(shù)后切口感染的相關(guān)因素。結(jié)果 328例患者術(shù)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(shù)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(yuǎn)端骨折分類為C3型、手術(shù)時(shí)間≥120min、全麻手術(shù)、非隔離病房、切口類型Ⅲ類、未預(yù)防應(yīng)用抗菌藥物的術(shù)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(shù)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(yuǎn)端骨折分類為C1型、手術(shù)時(shí)間120min、硬膜外麻醉、隔離病房、切口類型Ι型、預(yù)防應(yīng)用抗菌藥物的術(shù)后切口感染率,差異有統(tǒng)計(jì)學(xué)意義(P0.05);經(jīng)Logistic多因素分析可知,年齡≥60歲、AO橈尺骨遠(yuǎn)端骨折分類為C3型、合并糖尿病、全麻手術(shù)、切口類型Ⅲ類是橈骨遠(yuǎn)端骨折術(shù)后切口感染的獨(dú)立危險(xiǎn)因素(P0.05),而術(shù)前預(yù)防應(yīng)用抗菌藥物則是保護(hù)因素。結(jié)論對(duì)于橈骨遠(yuǎn)端骨折術(shù)后切口感染的高�；颊咝g(shù)前應(yīng)充分評(píng)估患者身體狀況及預(yù)防應(yīng)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(shù)后切口感染風(fēng)險(xiǎn)。
[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(hào)：1604426