摘要
目的动态观察留置经皮骨穿针患者术后针道感染的发生状况,并分析其危险因素。方法选取2012年北京协和医院骨科采用经皮骨穿针治疗的患者100例,收集其术后针道感染发生的时间、感染分级等,并分析其影响因素。结果经皮骨穿针的针道感染发生率是34.0%,感染病例中82.4%的患者为轻度感染,17.6%为重度感染;术后1~2周是针道感染的高发时间。针道松动、开放损伤、外固定是经皮骨穿针针道感染的危险因素（P〈0.05）。随着经皮骨穿针留置时间的延长,针道感染的风险逐渐增加（P〈0.05）。结论保留经皮骨穿针期间,要特别注意保持经皮骨穿针的稳定性和针道周围清洁、干燥。尤其是对于开放损伤及外固定的患者需要给予更多的关注。
Objective To describe the incidence of pin site infection and analyze the risk factors. Methods We sampled 100 patients with pin sites from Peking Union Medical College Hospital in 2012, and collected the time of postoperative pin site infection,and infection grading. Results Among 100 patients, 34 patients demonstrated pin site infection with the incidence of 34.0%, and28 patients had mild pin site infection（82.4%） but 6 patients had severe pin site infection（17.6%）. Most infection occurred in one to two weeks after operation. Loose pin sites, open injuries and external fixation were the risk factors of pin site infection（ P〈0.05）. The longer retention time of pin site, the higher infection rate（P〈0.05）. Conclusion We should pay more attention to the stability and keep clean and dry of the pin sites especially for the patients with open injuries and external fixation.
出处
《护理学报》
2015年第13期44-47,共4页
Journal of Nursing（China）
关键词
经皮骨穿针
针道感染
影响因素
pin site
pin site infection
influence factors
