创伤性胫骨平台骨折术后切口感染患者的病原菌分布与危险因素分析

发布时间：2019-07-10 10:02

【摘要】：目的分析创伤性胫骨平台骨折术后切口感染的病原菌分布与危险因素,为今后相关类型骨折的临床治疗提供参考基础。方法选择2012年8月-2016年8月医院收治的创伤性胫骨平台骨折且行手术治疗患者150例,术后切口感染者12例;对于切口感染患者分泌液行细菌培养及药敏实验,并研究分析术后切口感染的相关危险因素,数据采用SPSS 19.0软件进行统计分析。结果 12例感染患者共培养出25株病原菌,以革兰阳性菌为主,共16株占64.00%;革兰阳性菌对万古霉素、替考拉宁的耐药率为0,革兰阴性菌对亚胺培南的耐药率为0;多因素logistic分析显示,开放性骨折、Schatzker中的Ⅳ~Ⅵ型骨折伴有骨筋膜室综合症,急诊行手术治疗均是创伤性胫骨平台骨折术后感染的相关危险因素(P0.05)。结论分析创伤性胫骨平台骨折术后感染的相关危险因素,根据研究内容需给予对症的治疗方法,尽可能降低术后感染的发生,提高病人整体临床疗效,为治疗医师提供参考基础。
[Abstract]:Objective To analyze the distribution and risk factors of incision infection after traumatic tibial plateau fracture, and provide a reference basis for clinical treatment of related types of fracture. Methods From August 2012 to August 2016,150 cases of traumatic tibial plateau fracture and 12 cases of postoperative incision infection were treated with surgical treatment, and the related risk factors of incision infection after operation were studied. The data were analyzed by SPSS 19.0 software. Results The resistance of gram-positive bacteria to vancomycin and teicoplanin was 0, and the resistance rate of gram-negative bacteria to imipenem was 0. The multi-factor logistic analysis showed that open fracture, The 鈪，

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