骨折患者钢板取出术后切口感染的预防  

Prevention of incision infection of fracture patients after surgery removal of steel plate

作　　者：宗贝[1,2] 陈连心 邓健[3] 

机构地区：[1]黄石市湖北理工学院附属医院 [2]黄石市团城山骨科医院,湖北黄石4350030 [3]黄石市疾病预防控制中心疾病预防科,湖北黄石4350030

出　　处：《中华医院感染学杂志》2014年第8期1970-1972,共3页Chinese Journal of Nosocomiology

基　　金：高等学校博士学科点专项科研基金项目(200805581179)

摘　　要：目的探讨骨折患者进行钢板取出术之后切口感染实施预防措施的作用以及应用价值，为临床资料提供参考依据。方法选取2010年7月-2013年2月在医院进行钢板取出术的骨折患者共计90例，并将患者随机分为常规护理组及护理干预组，每组各45例，采用SPSS11．0软件进行统计分析。结果骨折患者中股骨骨折患者感染率最高为32．22％，胫腓骨患者感染率为20．00％；患者在手术约1～2周内最容易发生感染，而且出现感染的概率随时间的变长而升高；患者对护理干预的满意度高达97．78％，与常规护理组的满意度之间的差异有统计学意义（P〈0．05）；护理干预组出现感染1例，进行常规护理的患者出现感染共17例，两组之间比较差异有统计学意义。结论对进行钢板取出术的骨折患者护理时，进行适当的干预有助于降低患者切口处发生感染的概率。OBJECTIVE To explore the function and application value of implementing prevention measures of inci- sion infection of patients with fractures after the removal of steel plate, so as to provide reference for clinical data. METHODS A total of 90 cases were selected from Jul 2010 to Feb 2013 among the patients in the hospital, who had gone through the removal of steel plate due to the fractures. They were divided into two groups： the conven- tional nursing group and the nursing treatment group, with 45 patients for each. The SPSS 11.0 software was used for statistical collection and analysis. RESULTS Among the cases with fractures, patients with femoral frac- tures was highest, which was the 32. 22%, those with tibial and fibular fractures had the infection rate of 20.00% ; patients were most easily to suffer infections within about one to two weeks after the operation, and the infection probability became higher with time passing by; patients satisfaction for nursing intervention was as high as 97.78%. The difference from the conventional nursing group had statistical significance （P〈0.05）. Nursing treatment group had one case suffering from infection, and the group of patients with conventional nursing had 17 cases suffering from infection. The comparative differences between the two groups had statistical significance. CONCLUSION The appropriate intervention is helpful in reducing the incision infection probability among nursing patients who undergo the steel plate removal.

关 键 词：骨折 钢板取出术 切口感染 预防 护理 

分 类 号：R619.3[医药卫生—外科学]