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骨科患者术后伤口感染的危险因素及护理风险管理 预览

Risk factors of postoperative wound infection of patients in department of orthopedics and its nursing risk management
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摘要 目的探讨骨科患者术后伤口感染的危险因素分析及护理风险管理。方法选择骨科收治的创伤住院患者421例,回顾性调查研究方式记录感染发生情况,分析术后伤口感染的相关危险因素,制定适宜的护理干预措施。结果术后感染26例(6.18%),开放性创伤患者,手术时间越长,首次清创时间越长,切口类型越大,术前合并其他感染患者,抗菌药物使用类型越多,住院时间越长,这些因素发生术后伤口感染的风险高。结论临床护理应做好术前评估,加强手术室管理及围术期管理,以降低伤口感染率,提高临床治疗效果。 Objective To explore the risk factors and nursing risk management of wound infection after orthopaedic surgery. Methods The infection condition of 421 traumatic inpatients admitted to our hospital were retrospectively investigated. The related risk factors of wound infection after operation were analyzed, and appropriate nursing intervention measures were formulated. Results There were 26 infected cases after operation, with the infection rate of 6.18%. Open trauma patients had a high risk of wound infection after operation. The longer the operation time and wound clear time costed, and larger the wound incision was, the higher the risk of wound infection was. Patients with other infections before operation had a high risk of wound infection after operation. The more types of antibiotics used, and the longer the hospital stay was, the higher the risk of wound infection was. Conclusion Preoperative evaluation and strengthened management of operating room and perioperation can reduce wound infection rate and improve clinical therapeutic effect.
作者 张玉萍 王瑜 ZHANG Yuping;WANG Yu(The First Orthopedic Department, Xi′an Central Hospital, Xi′an, Shaanxi, 710003)
出处 《实用临床医药杂志》 CAS 2019年第5期124-126,共3页 Journal of Clinical Medicine in Practice
关键词 骨科 伤口感染 危险因素 护理风险 department of orthopedics wound infection risk factors nursing risk
作者简介 通信作者:王瑜, E-mail: masterwy @126.com.
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