骨科术后伤口裂开风险因素分析  

Analysis of risk factors of surgical wound dehiscence in orthopedics

作　　者：许胜 罗琦 舒宇 黄秀琴 勒世海 王晓东[1] XU Sheng;LUO Qi;SHU Yu;HUANG Xiuqin;LE Shihai;WANG Xiaodong(The First People′s Hospital of Fuzhou,Fuzhou,Jiangxi 344000,China)

机构地区：[1]抚州市第一人民医院,江西抚州344000

出　　处：《现代医药卫生》2023年第21期3658-3660,共3页Journal of Modern Medicine & Health

基　　金：江西省抚州市指导性科技计划项目(2021044)。

摘　　要：目的探讨骨科术后伤口裂开(SWD)潜在风险因素,为手术伤口管理及SWD防治提供科学依据。方法回顾性收集2015年1月至2022年12月该院160例骨科手术患者的临床资料,将80例骨科手术切口裂开患者作为病例组,80例手术切口愈合良好患者作为对照组,采用χ^(2)检验比较2组患者体重指数(BMI)、既往或现在吸烟、围手术期低温、伤口感染、切口类型、基础疾病、合并贫血等的差异,应用logistic回归分析法进一步筛选潜在的风险因素。结果BMI、围手术期低温、切口类型、伤口感染、合并糖尿病、合并贫血为SWD的风险因素(优势比=6.24、1.10、3.41、10.81、1.21、1.65)。结论BMI、围手术期低温、切口类型、伤口感染、合并糖尿病、合并贫血骨科患者手术切口裂开的风险较高,应将该类患者纳入手术伤口裂开高危人群,予以重点管理。Objective To explore the potential risk factors of surgical wound dehiscence(SWD)in orthopedics,and to provide scientific basis for wound management and prevention.Methods Clinical data of 160 orthopaedic surgery patients in our hospital from January 2015 to December 2022 were retrospectively collected.A total of 80 patients with dehiscited orthopaedic surgery incisions were taken as case group and 80 patients with good surgical incision healing were taken as control group.The chi-square test was used to compare the differences of body mass index(BMI),previous or current smoking,perioperative hypothermia,wound infection,incision type,underlying diseases,and anemia between the two groups.logistic regression analysis was used to further screen potential risk factors.Results BMI,perioperative hypothermia,incision type,wound infection,combined diabetes and combined anemia were risk factors for SWD(odds ratio=6.24,1.10,3.41,10.81,1.21,1.65).Conclusion Patients with BMI,perioperative hypothermia,incision type,wound infection,combined diabetes and combined anemia have a higher risk of surgical incision dehision,and should be included in the high-risk group of surgical wound dehision and should be focused on management.

关 键 词：医院骨科 手术 切口裂开 危险因素 

分 类 号：R619[医药卫生—外科学]