骨科围手术期手术部位感染危险因素分析与护理干预  

Analysis on the Risk Factors for Orthopedic Perioperative Surgical Site Infection and the Nursing Countermeasures

作　　者：范桂虹[1] 古云凤 侯丽[1] 陈蓉[1] 周莹[1] 

机构地区：[1]绵阳市第三人民医院医院感染管理科,四川绵阳621000

出　　处：《华西医学》2014年第12期2315-2318,共4页West China Medical Journal

摘　　要：目的探讨骨科围手术期手术部位感染的高危因素及护理对策。方法对2010年1月-2012年12月骨科住院的2 752例手术患者进行回顾性分析,对危险因素进行分析并提出预防措施。结果 97例患者手术部位感染,感染率3.52%。骨科患者的手术部位感染与年龄、基础疾病、手术部位、切口种类、术前住院时间、手术时间、急择期手术、抗菌药物的使用、围手术期保温、医务人员的手卫生等因素密切相关,其中截肢手术后感染率最高,达23.81%(20/84)。结论重视围手术期护理干预,加强手术人员和物品的管理,建立合理的流程,充分的患者术前准备,术中尽可能保护脏器,减少切口的污染,围手术期合理使用抗菌药物,规范各项护理操作,能有效地预防和降低切口感染的发生。Objective To explore the risk factors for and preventive measures of orthopedic perioperative surgical site infection. Methods We retrospectively analyzed the clinical data of 2 752 cases of orthopedic surgery performed from January 2010 to December 2012. The risk factors for such infection were analyzed and certain preventive measures were put forward. Results A total of 97 patients were infected with a surgical site infection rate of 3.52%. The surgical site infection was closely related to ages, basic diseases, surgical site, types of incision, preoperative hospital stay, operative time, urgent elective surgery, the use of antibiotics, medical staff hand hygiene and other factors, of which the rate of infection after amputation was the highest, reaching 23.81% （20/84）. Conclusion Making full preparations before operation, strengthening medical staffs hand disinfection, prophylactic antibiotics, good precautions and regulations in operation, and nursing meticulously after operation can be taken to prevent and reduce surgical site infection in orthopedic operation patients effectively.

关 键 词：骨科 围手术期 手术部位感染 危险因素 护理干预 

分 类 号：R473.6[医药卫生—护理学]