胫腓骨骨折支架外固定术后针道感染的预防性护理效果观察  

Effect Observation of Nursing Intervention for Pin Site Infections after External Fixation of Fractured Tibia and Fibula

作　　者：宁荣香[1] 胡章颜[2] 马乐娟[1] 

机构地区：[1]绍兴文理学院医学院附属医院第5病区,浙江绍兴312000 [2]绍兴文理学院医学院,浙江绍兴312000

出　　处：《护理学报》2006年第11期6-8,共3页Journal of Nursing（China）

摘　　要：目的探讨胫腓骨骨折支架外固定术后预防针道感染和提高患者舒适度的护理干预方法。方法50例胫腓骨骨折患者随机分为日护理组27例和周护理组23例,每周观察并记录各组针道感染临床症状,疼痛发生率及抗生素使用情况;术后第1、第6、第10周及固定针拔除后针道口细菌培养结果。采用Checketts-Ottberburns感染程度和Visual Analogue Seale疼痛分级法评价两组患者术后针道感染和疼痛情况。结果两组针道感染程度比较,差异无统计学意义,均无出现重度感染;周护理组针道疼痛程度比日护理组低;除第6周(P=0.01)外,两组针道分泌物细菌培养阳性率无统计学意义。结论外固定术后针道每日护理和每周2次护理在针道感染的发生率、感染程度及抗生素的使用方面无统计学意义,每周2次的针道护理能减轻患者针道护理时的疼痛程度,具有可行性,可减少护理工作量。Objective To explore the nursing method to reduce the infection rate and degree of pin site after external fixation of fractured tibia and fibula. Methods 50 patients with fractured tibia and fibula were put into daily care group （27 cases） and weekly care group （23 cases）. The clinical symptoms by pin site infection, pain rate and use of antibiotics were observed and recorded and bacterial cultures were taken from each pin site at week 1, 6 and 10 as well as right after removal of needle. The infections and pains were evaluated by using Checketts-Ottberburns Infection Scale and Visual Analogue Scale. Results There was no statistical difference in infection degree of pin sites between both groups, aside from no severe infection in them. The pain degree of the daily care group was lower than that of the weekly care group. Except week 6 （P=0.01）, there was no statistical difference in view of bacterial cultures from the pin sites of both groups. Conclusion There are no differences between daily and twice-a-week pin site care in terms of the frequency and severity of pin site infections, pain or the use of antibiotics （P〈0.05）. Twice a week pin site care is feasible and can reduce workload of nurses.

关 键 词：胫腓骨骨折 外固定 针道感染 疼痛程度 护理 

分 类 号：R473.6[医药卫生—护理学]