老年髋部骨折患者围术期感染的危险因素分析  

Analysis of risk factors for perioperative infection in elderly patients with hip fracture

作　　者：李春燕 杨文伟[1] 汪可可 蒋良芝 LI Chun-yan;YANG Wen-wei;WANG Ke-ke;JIANG Liang-zhi(Yangpu District Central Hospital of Shanghai,Shanghai 200090,China)

机构地区：[1]上海市杨浦区中心医院

出　　处：《中国消毒学杂志》2020年第1期49-51,共3页Chinese Journal of Disinfection

基　　金：上海市杨浦区中心医院院级课题(SE1201745)

摘　　要：目的分析老年髋部骨折围术期感染现状及其危险因素。方法采用回顾性分析方法,对我院380例住院老年髋部骨折患者临床资料进行统计分析,分析围手术期感染危险因素。结果纳入研究的老年髋部骨折患者380例,发生围手术期感染者117例,围手术期感染率为30. 79%。Logistic多因素回归分析显示,住院天数和术后用药天数是老年髋部骨折患者发生围术期手术相关感染的独立危险因素。结论根据发现的主要危险因素,尽早评估导尿管拔除时间,减少住院天数,合理使用抗菌药物成为防控围手术期感染的主要措施。Objective Objective To analyze the current situation of perioperative infection in elderly patients with hip fracture and its risk factors. Methods A retrospective analysis method was used to analyze the clinical data of 380 elderly patients with hip fracture in our hospital and the risk factors of perioperative infection. Results A total of 380 elderly patients with hip fracture were enrolled in this study,and there were 117 cases of perioperative infection,with the perioperative infection rate of 30. 79%. Logistic multivariate regression analysis showed that days of hospitalization and days of postoperative medication were independent risk factors for perioperative surgery-related infections in elderly patients with hip fractures.Conclusion According to the main risk factors found,early evaluation of catheter removal time,reduction of hospital days,and rational use of antibiotics are the main measures to prevent and control perioperative infection.

关 键 词：老年髋部骨折 围术期感染 多因素分析 危险因素 

分 类 号：R181.32[医药卫生—流行病学]