CAJ | 학술논문

目的研究创伤性骨科手术过程中感染的预防与控制,探讨采取干预措施后对降低感染风险的临床效果.方法将我院2010年4月-2011年11月收治的120例接受骨科手术的病人随机分为干预组(62例)和对照组(58例),对照组采用常规方法控制感染,干预组在常规方法的基础上采取前瞻性干预措施控制感染.结果干预组的患者无手术后感染的病例,而对照组的发生率为8.6％,两组比较差异具有统计学意义(P＜ 0.05)；对照组和干预组患者的住院天数分别为(28.29±9.7)天和(21.54±8.9)天,两组比较差异具有统计学意义(P＜ 0.05).结论应重视创伤性骨科手术感染的危险因素,积极实施干预措施,可以显著降低感染的发生率,缩短住院时间,是预防和控制创伤性骨科手术感染的有效方法,值得进行临床推广.
목적 연구창상성골과수술과정중감염적예방여공제,탐토채취간예조시후대강저감염풍험적림상효과.방법 장아원2010년4월-2011년11월수치적120례접수골과수술적병인수궤분위간예조(62례)화대조조(58례),대조조채용상규방법공제감염,간예조재상규방법적기출상채취전첨성간예조시공제감염.결과 간예조적환자무수술후감염적병례,이대조조적발생솔위8.6％,량조비교차이구유통계학의의(P＜ 0.05)；대조조화간예조환자적주원천수분별위(28.29±9.7)천화(21.54±8.9)천,량조비교차이구유통계학의의(P＜ 0.05).결론 응중시창상성골과수술감염적위험인소,적겁실시간예조시,가이현저강저감염적발생솔,축단주원시간,시예방화공제창상성골과수술감염적유효방법,치득진행림상추엄.
Objective To study prevention and control of infection in traumatic orthopedic surgery and to explore the clinical effect of reducing the risk of infection after taking intervention measures.Methods 120 patients undergoing traumatic orthopedic surgery were randomly divided into intervention group ( 62 patients ) and control group ( 58 patients ).The control group received conventional methods for controlling infection,while the intervention group received prospective intervention measures in addition to conventional methods.Results The rate of patients without postoperative infection differed significantly between the intervention group and the control group ( 0％ vs.8.6％,P＜ 0.05 ).There was a significant difference between the control group and the intervention group in length of hospital stay [( 28.29 ± 9.7 ) vs.( 21.54 ± 8.9 ),P ＜ 0.05].Conclusions We should focus on the risk factors of infection caused by traumatic orthopedic surgery.Active intervention measures can effectively reduce the rate of infection and shorten length of hospital stay.It is worth popularizing clinically.