闭合性骨盆骨折术后切口感染的危险因素分析

发布时间：2018-03-27 04:47

本文选题：骨盆骨折　切入点：切口感染　出处：《中华医院感染学杂志》2017年10期

【摘要】：目的探讨闭合性骨盆骨折术后切口感染的危险因素,为临床预防控制闭合性骨盆骨折术后切口感染提供参考依据。方法选择宁波市第二医院骨科2006年1月-2015年12月闭合性骨盆骨折术后切口感染者50例为感染组,另选同期闭合性骨盆骨折术后切口未感染者50例为对照组,对比分析两组患者的临床资料,采用单因素和多因素logistic回归分析闭合性骨盆骨折术后切口感染的危险因素。结果感染组合并腹部损伤、合并Morel-lavellee损伤、合并髋臼骨折的发生率高于对照组(P0.05),感染组和对照组致伤原因、合并脑外伤、合并胸部外伤、合并尿道损伤、合并糖尿病比较差异无统计学意义;感染组体质量指数、ISS评分、术中失血量、手术时间均高于对照组(P0.05);多因素logistic回归分析结果显示,合并Morel-lavellee损伤、合并髋臼骨折、体质量指数和手术时间是闭合性骨盆骨折术后切口感染的独立影响因素(P0.05)。结论闭合性骨盆骨折术后切口感染与合并腹部损伤、合并Morel-lavellee损伤、合并髋臼骨折、体质量指数、ISS评分、术中失血量、手术时间有关,合并Morel-lavellee损伤、合并髋臼骨折、体质量指数和手术时间是闭合性骨盆骨折术后切口感染的独立影响因素。
[Abstract]:Objective to investigate the risk factors of incision infection in closed pelvic fractures. To provide reference for clinical prevention and control of incision infection of closed pelvic fractures. Methods 50 patients with incision infection after closed pelvic fractures from January 2006 to December 2015 in Department of Orthopedics of Ningbo second Hospital were selected as infection group. In addition, 50 patients with uninfected incision in the same period of closed pelvic fracture were selected as control group. The clinical data of the two groups were compared and analyzed. Univariate and multivariate logistic regression analysis was used to analyze the risk factors of wound infection after closed pelvic fractures. Results the combination of infection and abdominal injury was associated with Morel-lavellee injury. The incidence of acetabular fractures was higher than that of the control group (P 0.05). There was no significant difference between the infection group and the control group in the causes of injury, brain injury, chest injury, urethral injury and diabetes mellitus. The amount of blood lost during operation and the time of operation were higher than those in control group (P 0.05). The results of multivariate logistic regression analysis showed that the patients with Morel-lavellee injury and acetabular fracture were associated with the injury and the acetabular fracture. Body mass index (BMI) and operative time were the independent influencing factors of wound infection after closed pelvic fracture (P0.050.Conclusion Intraoperative wound infection and abdominal injury, Morel-lavellee injury, acetabular fracture, body mass index (BMI) were used to evaluate wound infection and abdominal injury after closed pelvic fracture. Intraoperative blood loss, operative time, Morel-lavellee injury, acetabular fracture, body mass index and operative time were independent influencing factors of wound infection after closed pelvic fracture.
【作者单位】：宁波市第二医院骨二科;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2014KYB232)
【分类号】：R687.3

【相似文献】