963例骨科手术患者手术部位感染监测分析及护理对策.docVIP

精品论文 参考文献 963例骨科手术患者手术部位感染监测分析及护理对策 陈丽君 杨晓琴 黄琴 袁勤 　　（四川省眉山市人民医院骨一科 四川眉山 620010） 　　【摘要】目的 通过开展目标性监测，了解骨科手术部位感染率及骨科手术医生感染专率；建立骨科手术部位感染监测数据的比较体系；评价控制效果，有效降低骨科手术部位感染。 方法 采用前瞻性监测方法，监测2012年1月—2012年12月骨科所有手术患者，填写监测表格，出院后电话随访，并对感染发生率等多项指标进行统计分析。结果 963例手术患者发生15例手术部位感染，感染率为1.56%；经对比，自身因素、年龄、及住院时间与切口感染相关，危险指数等级升高，感染率明显增高（P＜0.05）；急诊手术感染率高于择期手术；手术切口类型级别越高，感染发生率越高。结论 目标监测是一种前瞻性的科学监测方法，通过监测骨科手术部位危险因素，并采取综合性预防控制干预措施来预防和降低感染发生率。 　　【关键词】骨科手术 切口感染 目标性监测 护理对策 　　【中图分类号】R473.6 【文献标识码】B 【文章编号】2095-1752（2014）05-0246-02 　　 　　Monitoring analysis and nursing measures of 963 cases of operation patients in department of orthopedics operation site infection 　　CHEN Li-jun YANG Xiao-qin HUANG Qin YUAN Qin 　　Department of Orthopedic Surgery，Peoples Hospital of Meishan，Meishan，Sichuan 620010，China 　　【Abstract】Objective To understand orthopedic surgical site infection rate and establish infection monitoring data system so as to evaluate controlling effect and reduce effectively orthopedic wound infection. Methods From Jan to Dec in 2012 ,all of the orthopedic surgical patients were monitored by filling in forms and following-up with a prospective method, and were made a statistical analysis. Results There were 15 wound infections in 963 cases. The incidence was 1.56%. The infections were related to patients individual factors, age, and time of hospitalization. Infection rate in those who had a danger index increased significantly (P lt; 0.05). The infection rate in emergency patients was higher than in elective ones. The higher the grade of incision type was, the higher the rate of infection was. Conclusion The objective monitoring is a prospective and scientific method. We can take comprehensive prevention and controlling intervention measures to prevent and reduce the incidence of infection through the monitoring of risk factors of orthopedic surgical site. 　　【key words】Orthopedics surgery Incision infection Targeted monit