本文選題：骨盆骨折　切入點(diǎn)：切口感染　出處：《中華醫(yī)院感染學(xué)雜志》2017年10期

【摘要】：目的探討閉合性骨盆骨折術(shù)后切口感染的危險(xiǎn)因素,為臨床預(yù)防控制閉合性骨盆骨折術(shù)后切口感染提供參考依據(jù)。方法選擇寧波市第二醫(yī)院骨科2006年1月-2015年12月閉合性骨盆骨折術(shù)后切口感染者50例為感染組,另選同期閉合性骨盆骨折術(shù)后切口未感染者50例為對(duì)照組,對(duì)比分析兩組患者的臨床資料,采用單因素和多因素logistic回歸分析閉合性骨盆骨折術(shù)后切口感染的危險(xiǎn)因素。結(jié)果感染組合并腹部損傷、合并Morel-lavellee損傷、合并髖臼骨折的發(fā)生率高于對(duì)照組(P0.05),感染組和對(duì)照組致傷原因、合并腦外傷、合并胸部外傷、合并尿道損傷、合并糖尿病比較差異無統(tǒng)計(jì)學(xué)意義;感染組體質(zhì)量指數(shù)、ISS評(píng)分、術(shù)中失血量、手術(shù)時(shí)間均高于對(duì)照組(P0.05);多因素logistic回歸分析結(jié)果顯示,合并Morel-lavellee損傷、合并髖臼骨折、體質(zhì)量指數(shù)和手術(shù)時(shí)間是閉合性骨盆骨折術(shù)后切口感染的獨(dú)立影響因素(P0.05)。結(jié)論閉合性骨盆骨折術(shù)后切口感染與合并腹部損傷、合并Morel-lavellee損傷、合并髖臼骨折、體質(zhì)量指數(shù)、ISS評(píng)分、術(shù)中失血量、手術(shù)時(shí)間有關(guān),合并Morel-lavellee損傷、合并髖臼骨折、體質(zhì)量指數(shù)和手術(shù)時(shí)間是閉合性骨盆骨折術(shù)后切口感染的獨(dú)立影響因素。
[Abstract]:Objective to investigate the risk factors of incision infection in closed pelvic fractures. To provide reference for clinical prevention and control of incision infection of closed pelvic fractures. Methods 50 patients with incision infection after closed pelvic fractures from January 2006 to December 2015 in Department of Orthopedics of Ningbo second Hospital were selected as infection group. In addition, 50 patients with uninfected incision in the same period of closed pelvic fracture were selected as control group. The clinical data of the two groups were compared and analyzed. Univariate and multivariate logistic regression analysis was used to analyze the risk factors of wound infection after closed pelvic fractures. Results the combination of infection and abdominal injury was associated with Morel-lavellee injury. The incidence of acetabular fractures was higher than that of the control group (P 0.05). There was no significant difference between the infection group and the control group in the causes of injury, brain injury, chest injury, urethral injury and diabetes mellitus. The amount of blood lost during operation and the time of operation were higher than those in control group (P 0.05). The results of multivariate logistic regression analysis showed that the patients with Morel-lavellee injury and acetabular fracture were associated with the injury and the acetabular fracture. Body mass index (BMI) and operative time were the independent influencing factors of wound infection after closed pelvic fracture (P0.050.Conclusion Intraoperative wound infection and abdominal injury, Morel-lavellee injury, acetabular fracture, body mass index (BMI) were used to evaluate wound infection and abdominal injury after closed pelvic fracture. Intraoperative blood loss, operative time, Morel-lavellee injury, acetabular fracture, body mass index and operative time were independent influencing factors of wound infection after closed pelvic fracture.
【作者單位】： 寧波市第二醫(yī)院骨二科;
【基金】：浙江省醫(yī)藥衛(wèi)生一般研究計(jì)劃基金資助項(xiàng)目(2014KYB232)
【分類號(hào)】：R687.3

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