CAJ | 학술논문

目的：研究和分析骨科手术部位发生感染的危险因素，并制订实施相关对策预防感染的发生。方法采用前瞻性监测方法对2012年8月1日至2013年8月1日本院骨一科所有实施手术的患者进行临床监测和研究。对比分析患者性别、年龄、体质指数、糖尿病史、吸烟史、术前血红蛋白、术前白细胞计数、切口类型、急诊与择期手术、手术时间等。结果共监测382例手术患者，其中发生手术部位感染的患者7例，感染率为1.83%。经过单因素和多因素分析发现，体质指数和糖尿病史以及术前血红蛋白水平、切口类型、急诊、择期手术与发生手术部位感染相关（P＜0.05）。结论骨科手术中，根据患者发生感染的危险因素制订实施相关的预防对策，以预防患者发生手术部位感染，促进患者康复。
목적：연구화분석골과수술부위발생감염적위험인소，병제정실시상관대책예방감염적발생。방법채용전첨성감측방법대2012년8월1일지2013년8월1일본원골일과소유실시수술적환자진행림상감측화연구。대비분석환자성별、년령、체질지수、당뇨병사、흡연사、술전혈홍단백、술전백세포계수、절구류형、급진여택기수술、수술시간등。결과공감측382례수술환자，기중발생수술부위감염적환자7례，감염솔위1.83%。경과단인소화다인소분석발현，체질지수화당뇨병사이급술전혈홍단백수평、절구류형、급진、택기수술여발생수술부위감염상관（P＜0.05）。결론골과수술중，근거환자발생감염적위험인소제정실시상관적예방대책，이예방환자발생수술부위감염，촉진환자강복。
Objective Researched and analysed the orthopaedic surgical site infection risk factors, and implementation of related countermeasures to prevent infection. Method Useed prospective monitoring method on August 1, 2012 to August 1, 2013 all patients with surgery for clinical monitoring and research. Analysed in patients with history of gender, age, body mass index, diabetes, smoking history, preoperative hemoglobin, white blood cell count, types of incision, preoperative emergency and undergoing elective surgery, surgery time and so on. Result Monitoring of 382 patients with surgery, in which 7 cases of patients with surgical site infection, the infection rate was 1.83%. Through single factor and multiple factors analysis found that body mass index (bmi), a history of diabetes and preoperative hemoglobin level, types of incision, emergency treatment, undergoing elective surgery associated with surgical site infection (P<0.05). Conclusion <br> Orthopaedic surgery, according to the risk factors of infection in patients with the implementation of corresponding prevention countermeasures, in order to prevent surgical site infection patients, promote patients recover.