骨科创伤患者伤口感染的危险因素及对策分析

张宝玉

（陕西省蒲城县中医医院骨科，陕西 渭南，715500）

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摘要：

目的 探讨骨科创伤患者伤口感染的危险因素及相关对策。方法 选择我院收治的182例骨科创伤患者为研究对象。分析患者伤口感染情况与创伤类型、伤口首次清创时间等对伤口感染的影响。结果182 例骨科创伤患者中，37例患者发生感 染，145 例患者未发生感染，感染发生率为20.33%。开放性创伤患者感染率明显高于闭合性创伤患者，多发伤患者伤口感染 率高于非多发伤，休克患者伤口感染率高于非休克者，差异具有统计学意义（P<0.05）。120 例开放性创伤患者中，感染组患者 平均首次清创时间明显长于未感染组（P<0.05）。结论 开放性创伤、多发伤、休克及伤口首次清创时间为骨科创伤患者伤口感 染的危险因素，应该针对性地给予治疗措施，提高临床效果，缩短康复时间，以提高患者的生活质量。

关键词：骨科创伤；开放性创伤；清创时间

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2018)01-0102-02

Risk factors and countermeasures of wound infection in patients with orthopedics trauma
ZHANG Bao-yu
(Orthopedics Department, Traditional Chinese Medicine Hospital of Pucheng County, Weinan 715500, China)

ABSTRACT: Objective To investigate the risk factors and countermeasures of wound infection in patients with orthopedics trauma. Methods A total of 182 patients with orthopedic trauma in our hospital were selected as the study objects. The incidence of wound infection and the influence of wound infection types and first debridement time on wound infection were analyzed. Results In 182 orthopedic trauma patients, 37 patients were infected, and 145 patients had no infection, the incidence of infection was 20.33%. The infection rate of patients with open trauma was significantly higher than that of closed trauma patients, the infection rate of patients with multiple injuries was higher than that without multiple injuries, the infection rate of patients with shock was higher than that without shock, the differences were statistically significant (P<0.05). In 120 open trauma patients, the average frist debridement time of the infection group was longer than that of the non-infection group (P<0.05). Conclusion Open trauma, multiple injuries, shock and first debridement time were the risk factors of wound infection in patients with orthopedics trauma, the treatment measures should be given to improve the clinical effect and shorten the time of rehabilitation, so as to improve the quality of life of the patients.
KEYWORDS: orthopedics trauma; open trauma; debridement time

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