【摘要】：目的分析創(chuàng)傷性脛骨平臺(tái)骨折術(shù)后切口感染的病原菌分布與危險(xiǎn)因素,為今后相關(guān)類型骨折的臨床治療提供參考基礎(chǔ)。方法選擇2012年8月-2016年8月醫(yī)院收治的創(chuàng)傷性脛骨平臺(tái)骨折且行手術(shù)治療患者150例,術(shù)后切口感染者12例;對(duì)于切口感染患者分泌液行細(xì)菌培養(yǎng)及藥敏實(shí)驗(yàn),并研究分析術(shù)后切口感染的相關(guān)危險(xiǎn)因素,數(shù)據(jù)采用SPSS 19.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 12例感染患者共培養(yǎng)出25株病原菌,以革蘭陽(yáng)性菌為主,共16株占64.00%;革蘭陽(yáng)性菌對(duì)萬(wàn)古霉素、替考拉寧的耐藥率為0,革蘭陰性菌對(duì)亞胺培南的耐藥率為0;多因素logistic分析顯示,開(kāi)放性骨折、Schatzker中的Ⅳ~Ⅵ型骨折伴有骨筋膜室綜合癥,急診行手術(shù)治療均是創(chuàng)傷性脛骨平臺(tái)骨折術(shù)后感染的相關(guān)危險(xiǎn)因素(P0.05)。結(jié)論分析創(chuàng)傷性脛骨平臺(tái)骨折術(shù)后感染的相關(guān)危險(xiǎn)因素,根據(jù)研究?jī)?nèi)容需給予對(duì)癥的治療方法,盡可能降低術(shù)后感染的發(fā)生,提高病人整體臨床療效,為治療醫(yī)師提供參考基礎(chǔ)。
[Abstract]:Objective To analyze the distribution and risk factors of incision infection after traumatic tibial plateau fracture, and provide a reference basis for clinical treatment of related types of fracture. Methods From August 2012 to August 2016,150 cases of traumatic tibial plateau fracture and 12 cases of postoperative incision infection were treated with surgical treatment, and the related risk factors of incision infection after operation were studied. The data were analyzed by SPSS 19.0 software. Results The resistance of gram-positive bacteria to vancomycin and teicoplanin was 0, and the resistance rate of gram-negative bacteria to imipenem was 0. The multi-factor logistic analysis showed that open fracture, The 鈪，

本文編號(hào)：2512530