闭合性骨盆骨折术后切口感染的危险因素分析  

Risk factors for postoperative incision infections in patients with closed pelvic fracture

作　　者：熊文化[1] 许柯[1] 赵守军[1] 刘江涛[1] 陈骏萍[1] 

机构地区：[1]宁波市第二医院骨二科,浙江宁波315010

出　　处：《中华医院感染学杂志》2017年第10期2290-2293,共4页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生一般研究计划基金资助项目(2014KYB232)

摘　　要：目的探讨闭合性骨盆骨折术后切口感染的危险因素,为临床预防控制闭合性骨盆骨折术后切口感染提供参考依据。方法选择宁波市第二医院骨科2006年1月-2015年12月闭合性骨盆骨折术后切口感染者50例为感染组,另选同期闭合性骨盆骨折术后切口未感染者50例为对照组,对比分析两组患者的临床资料,采用单因素和多因素logistic回归分析闭合性骨盆骨折术后切口感染的危险因素。结果感染组合并腹部损伤、合并Morel-lavellee损伤、合并髋臼骨折的发生率高于对照组(P<0.05),感染组和对照组致伤原因、合并脑外伤、合并胸部外伤、合并尿道损伤、合并糖尿病比较差异无统计学意义;感染组体质量指数、ISS评分、术中失血量、手术时间均高于对照组(P<0.05);多因素logistic回归分析结果显示,合并Morel-lavellee损伤、合并髋臼骨折、体质量指数和手术时间是闭合性骨盆骨折术后切口感染的独立影响因素(P<0.05)。结论闭合性骨盆骨折术后切口感染与合并腹部损伤、合并Morel-lavellee损伤、合并髋臼骨折、体质量指数、ISS评分、术中失血量、手术时间有关,合并Morel-lavellee损伤、合并髋臼骨折、体质量指数和手术时间是闭合性骨盆骨折术后切口感染的独立影响因素。OBJECTIVE To explore the risk factors for postoperative incision infections in patients with closed pelvic fracture so as to provide guidance for clinical prevention and control of the postoperative incision infections.METHODS Totally 50 closed pelvic fracture patients with postoperative incision infections who were treated in orthopedics department of the Second Hospital of Ningbo from Jan 2006 to Dec 2015 were chosen as the infection group,meanwhile,50 closed pelvic fracture patients who did not have postoperative incision infections were set as the control group.The clinical data of the two groups of patients were observed and compared,and the univariate analysis and multivariate logistic regression analysis were performed to analyze the risk factors for the postoperative incision infections in the patients with closed pelvic fracture.RESULTS The incidence of complication with abdominal injury,complication with Morel-lavellee injury,or complication with acetabular fracture was significantly higher in the infection group than in the control group （P〈0.05）.There was no significant difference in the causes of injury,complication with cerebral trauma,complication with chest injury,complication with urinary tract injury,or complication with diabetes mellitus between the infection group and the control group.The body mass index,ISS score,intraoperative blood loss volume,and operation duration were higher in the infection group than in the control group （P〈0.05）.The result of multivariate logistic regression analysis indicated that the complication with Morel-lavellee injury,complication with acetabular facture,body mass index,and operation duration were the independent risk factors for the postoperative incision infections in the patients with closed pelvic fracture （P〈 0.05）.CONCLUSION The postoperative incision infections in the patients with closed pelvic fracture is associated with the complication with abdominal injury,complication with Morel-lavellee injury,complication with acetabular factur

关 键 词：骨盆骨折 切口感染 危险因素 

分 类 号：R378[医药卫生—病原生物学]