手术室护理干预对全膝关节置换患者术后感染的预防效果研究  

Effect of nursing intervention of operating rooms on prevention of postoperative infections in patients undergoing total knee replacement

作　　者：张锐[1] 王飞[1] 肖岩[1] 李丽[1] 王璐[1] 

机构地区：[1]聊城市人民医院手术室,山东聊城252000

出　　处：《中华医院感染学杂志》2016年第6期1359-1361,共3页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(ZR2009CL018)

摘　　要：目的探讨手术室护理干预在预防全膝关节置换患者术后切口感染中的作用,为临床降低全膝关节置换术后的感染提供参考。方法对医院2012年6月-2015年6月收治的2 000例需接受全膝关节置换术的患者随机分为对照组和观察组,每组各1 000例;对照组患者术中接受常规护理,观察组患者术中接受改进的护理干预,包括手术室内温度监测及调节、患者保暖、手术器械管理等,比较两组患者术后手术切口甲级愈合率和感染率。结果观察组患者术后手术切口甲级愈合率为100.00%、感染率为0;对照组患者手术切口甲级愈合率为97.00%,有5例患者发生切口感染,感染率0.50%;观察组患者切口甲级愈合率明显高于对照组,感染率明显低于对照组,差异均有统计学意义(P<0.05)。结论进行术中监测、调节手术室空气温度、患者保暖和严格的手术器械管理等手术室护理干预措施可以明显提高全膝关节置换术后手术切口的甲级愈合率和降低感染率。OBJECTIVE To explore the effect of nursing intervention of operating rooms on prevention of postoperative incision infections in patients undergoing total knee replacement so as to reduce the incidence of the postoperative infections in the patients undergoing the total knee replacement.METHODS A total of 2 000 patients who received the total knee replacement from Jun 2012 to Jun 2015 were enrolled in the study and randomly divided into the control group and the observation group,with 1 000 cases in each.The control group was treated with conventional nursing,while the observation group was given the modified nursing intervention,including monitoring and regulating the temperature in the operating room,keeping warm,and managing the surgical instruments.The rates of grade A incision healing and infection rates were observed and compared between the two groups of patients.RESULTS The rate of grade A incision healing of the observation group was 100.00%,significantly higher than 97.00% of the control group;the infection rate of the observation group was 0,significantly lower than 0.50%（5cases）of the control group（P0.05）.CONCLUSIONIt is necessary to take the operating room nursing interventions such as monitoring and regulating the intraoperative temperature in the operating rooms,keeping warm,and conducing the strict management of surgical instruments so as to remarkably raise the rate of grade A incision healing after the total knee replacement and reduce the infection rate.

关 键 词：手术室 护理干预 全膝关节置换术 甲级愈合 切口感染 

分 类 号：R681.8[医药卫生—骨科学]