影响髋臼双柱骨折术后感染的危险因素分析  

Risk factors for infections after the operation for patients with acetabular fracture and the prevention measures

作　　者：糜丽梅[1] 陈玲[1] 吴姗[1] 张毓洁[1] 涂成华[1] 

机构地区：[1]贵阳医学院附属医院手术室,贵州贵阳550004

出　　处：《中华医院感染学杂志》2014年第8期1963-1964,1972,共3页Chinese Journal of Nosocomiology

基　　金：贵州科技技术厅基金资助项目(黔科合LG字[2012]036)

摘　　要：目的调查分析导致髋臼双柱骨折术中合并感染的危险因素,并对其采取相应的预防措施。方法回顾性分析2008年3月-2012年3月行移位髋臼双柱骨折术的患者60例,根据术后是否发生感染将研究对象分为感染组16例和未感染组44例,调查与感染相关的危险因素,对两组进行单因素分析筛选,然后进行logistic回归分析,数据采用SPSS 13.0进行分析。结果干预护理后有16例发生术后感染,感染率为26.7%,经logistic回归分析显示,自身因素及手术因素等是造成髋臼双柱骨折术后感染的主要相关危险因素。结论导致髋臼双柱骨折术后感染的危险因素包括患者自身因素及手术因素,针对危险因素对患者进行护理干预,能有效降低感染率。OBJECTIVE To investigate risk factors for infections after acetabular fracture surgery and to take appro- priate preventive measures. METHODS A retrospective analysis was performed on 60 patients undergoing surgery for double-column acetabular fractures during Mar. 2008--2012. The patients were divided into infection group （16 patients） and non-infection group （44 patients）. Risk factors related to infections were investigated. The univariate analysis was performed on the two groups for single factor screening, then the logistic regression analy- sis was performed. The data were analyzed using SPSS 13.0. RESULTS A total of 16 patients had postoperative infection after nursing intervention, the infection rate was 26.7%. The logistic regression analysis showed that personal factors and surgical factors were the main risk factors associated with infection after surgery for acetabu- lar column fractures. CONCLUSION The risk factors for infection after surgery for double column aeetabular frac- tures include the patient＇s personal factors and surgical factors. Targeted nursing intervention for patients can effectively reduce infection rates.

关 键 词：髋臼双柱骨折 感染 危险因素 预防措施 

分 类 号：R619.3[医药卫生—外科学]