摘要
目的探讨基层医院开放性胫腓骨骨折创口感染的预防措施。方法回顾性分析2005年1月-2010年1月开放性胫腓骨骨折清创时机、固定方法、抗菌药物应用与创面感染的特点。结果 132例开放性胫腓骨骨折感染率14.71%,其中Gustilo分型Ⅰ、Ⅱ、Ⅲ型感染率分别为6.25%、7.27%、23.08%,Gustilo分型中Ⅲ型骨折术后伤口感染率与Ⅰ、Ⅱ型骨折相比较,差异有统计学意义(P<0.01)。结论对于开放性胫腓骨骨折,彻底清创,有效冲洗及稳定骨折端、合理闭合创口,早期合理使用抗菌药物,可以降低创面感染率,提高临床疗效。
OBJECTIVE To survey the prevention strategy of open fracture of the tibiofibula wound infection in grass-roots hospital. METHODS The wound dehridement, the fixation, the antibiotics application and the wound infection feature of the open fracture of tibiofibula were retrospectively reviewed from Jan 2005 to Jan 2010. RESULTS The wound infection rate of 132 patients with open fracture of the tibiofibula was 14. 71%. The infection rates of Gustilo Ⅰ,Ⅱ and Ⅲ were 6.25%, 7.27% and 23. 08%, respectively. There were significant differences in the wound infection rates of open fracture of the tihiofibula, Gustilo Ⅲ, compared to Gustilo Ⅰ or Ⅱ （P〈0.01）. CONCLUSION The thorough wound debridement, the irrigation, the stabilization of fracture, the reasonable wound closure and the rational use of antibiotics can decrease the wound infection rate and improve the clinical curative effect.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第14期2918-2920,共3页
Chinese Journal of Nosocomiology
关键词
胫骨骨折
开放性骨折
创口感染
Tibial fractures
Open fractures
Wound infection
