老年髋部骨折患者术后感染的预防与控制  

Prevention and control of postoperative infections in elderly patients with hip fracture

作　　者：李宏斌[1] 陈雪荣[1] 钱宇[1] 曾青东[1] 骆剑敏[1] 范洪辉[1] 骆宏伟[1] 

机构地区：[1]绍兴市人民医院骨科,浙江绍兴312000

出　　处：《中华医院感染学杂志》2013年第2期344-346,共3页Chinese Journal of Nosocomiology

摘　　要：目的探索老年髋部骨折患者术后感染的预防和控制措施,以预防与控制其术后感染,提高治愈率。方法对医院2008年1月-2010年12月手术治疗的223例>65岁髋部骨折患者进行回顾性调查分析。结果 223例髋部骨折患者中,167例合并有≥1种其他科疾病,以心血管疾病、糖尿病和呼吸系统疾病为主;入院后平均手术时间(4.29±2.45)d;手术方式为内固定或髋关节置换;术后感染共6例占2.7%,其中手术部位感染2例占0.9%,呼吸道感染1例占0.45%,尿路感染3例占1.35%。结论对老年髋部骨折患者术后感染的预防和控制,除预防性应用抗菌药物外,应尽早请相关科室会诊,共同评估患者病情及制定围手术期治疗方案,重视围手术期镇痛和早期功能锻炼、离床活动。OBJECTIVE To explore the prevention and control measures for the postoperative infections in the elderly with hip fracture so as to preveht and control the postoperative infections and improve the cure rate. METHODS We conducted a retrospective analysis of 223 elderly patients with hip fracture, who were treated in the hospital from Jan 2008 to Dec 2010. RESULTS Of 223 patients with hip fracture, there were 167（74.9%） patients with one or more other diseases, for example： cardiovascular, diabetes and respiratory diseases. All patients were treated between I and 14 days （4. 29 days on the average）. They were treated by internal fixation, hemiarthroplasty or total hip replacement. After surgery, there were 2 （0.9 %） patients of surgical site infection, 1 （0.45 %） patient of respiratory infection and 3 （1.35 %） patients of urinary tract infection. CONCLUSION To prevent the postoperative infection following hip fracture in the elderly, in addition to the antibiotic prophylaxis, we should ask the relative physician for consultation as soon as possible, assess the general situation and design the therapeutic regimen for perioperative treatment. Besides, we should give them the perioperative analgesia, and teach them to get up for functional exercise.

关 键 词：髋部骨折 术后感染 预防 

分 类 号：R181.32[医药卫生—流行病学]