摘要
目的分析骨科Ⅰ类切口手术部位感染(SSI)的相关危险因素。方法选择重庆市垫江县人民医院骨科2019年9月至2020年9月出院的Ⅰ类切口手术患者病历进行回顾性分析,填写《骨科Ⅰ类切口手术调查表》,采用多因素logistic分析发生感染的独立危险因素。结果共调查患者1023例,发生SSI 85例,SSI发生率为8.31%。多因素logistic分析结果显示,年龄>60岁、美国麻醉医师协会(ASA)评分Ⅱ级及以上、手术时间>180 min、骨折内固定术及术前未预防使用抗菌药物是骨科Ⅰ类切口手术患者发生SSI的独立危险因素(P<0.05)。结论年龄≤60岁、ASA评分Ⅰ级、缩短手术时长及术前预防使用抗菌药物等可减少骨科Ⅰ类切口手术SSI发生率。
Objective To analyze the risk factors associated with surgical site infection(SSI)in orthopaedic typeⅠincision surgery.Methods The medical records of patients with typeⅠincision surgery discharged from the Department of Orthopaedics in Dianjiang People’s Hospital of Chongqing from September 2019 to September 2020 were retrospectively analyzed.The Orthopaedic TypeⅠIncision Surgery Questionnaire was filled out and the independent risk factors for the occurrence of infections were analyzed by multivariate logistic analysis.Results 85 among the 1023 investigated patients had SSI,with an incidence of 8.31%.The results of multivariate logistic analysis showed that age>60 years,the American Society of Anesthesiologists(ASA)score in gradeⅡand above,surgical duration>180 min,internal fracture fixation and non-preventive use of antibiotics preoperatively were independent risk factors for the occurrence of SSI in patients undergoing orthopaedic typeⅠincision surgery(P<0.05).Conclusion Age≤60 years,ASA score in gradeⅠ,shortening the surgical duration and preventive use of antibiotics preoperatively can reduce the incidence of SSI in orthopaedic typeⅠincision surgery.
作者
张露
彭杨
张军
朱必敏
林羿宏
ZHANG Lu;PENG Yang;ZHANG Jun;ZHU Bimin;LIN Yihong(Department of Pharmacy,Dianjiang People’s Hospital of Chongqing,Chongqing 408300,China;Department of OrthopaedicsⅢ,Dianjiang People’s Hospital of Chongqing,Chongqing 408300,China)
出处
《中国医药科学》
2022年第12期108-111,共4页
China Medicine And Pharmacy
基金
重庆市垫江县科技项目(djkjzdxm2019jsyfysfyy005)。
关键词
骨科
Ⅰ类切口手术
手术部位感染
危险因素
调查分析
Orthopaedics
TypeⅠincision surgery
Surgical site infection
Risk factors
Investigation and analysis
