摘要
目的分析围手术期医院感染的临床预防干预措施对股骨颈骨折患者医院感染的影响,以有效降低股骨颈骨折患者医院感染率。方法选择2012年4月-2013年4月收治的股骨颈骨折患者226例,按照入院时间顺序将其分为对照组100例、干预组126例,对照组采用常规的护理方法,干预组采用临床干预措施,比较两组患者医院感染的发生率及术后住院时间,采用统计软件SPSS 19.0进行分析处理。结果 226例患者共有15例发生医院感染,其中对照组11例,感染率为11.0%,干预组4例,感染率为3.2%,两组比较差异有统计学意义(P<0.05);对照组11例发生医院感染患者感染部位为呼吸系统、泌尿系统、皮肤、消化系统及其他感染,分别占36.4%、27.3%、9.1%、9.1%及18.2%,干预组4例发生医院感染患者感染部位为呼吸系统、皮肤及其他感染,分别占50.0%、25.0%及25.0%;干预组患者术后住院时间显著低于对照组(P<0.05)。结论对股骨颈骨折患者围手术期采取临床预防干预措施能够有效降低医院感染的发生率,同时减少患者的住院时间。
OBJECTIVE To analyze the perioperative clinical hospital infection prevention interventions for reducing the hospital infections for femoral neck fracture patients, so as to reduce the hospital infection rate of femoral neck fracture patients. METHODS A total of 226 cases of femoral neck fracture patients from Apr. 2012 to Apr. 2013 in our hospital were selected, and the patients were divided into control group of 100 patients and 126 cases in the intervention group based on the order of admitted in the hospital. The patients in control group got conventional methods of care, intervention group using clinical interventions. The incidence of nosoeomial infection and hospi- talization time were compared in two groups. RESULTS Among 226 cases, a total of 15 cases of patients were with nosocomial infections, including 11 cases in control group, and the infection rate was 11.0%, while 4 cases in intervention group, and the infection rate was 3.2 %. The intervention group was significantly lowerin incidence of infection than the control group （P〈0. 05） ; the infection sites for 11 infection cases in control group were respira-tory system （36.4%）, urinary system （27. 3%）, skin （9.1%）, digestive system （9.1%） and other infection （18.2%） ; the infection sites for 4 infection cases in intervention group were respiratory infections （50.0%）, skinworth promoting the use of clinical work.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第8期1965-1966,共2页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(81273571)
关键词
股骨颈骨折
围手术期
医院感染
预防干预
Femoral neck fracture
Perioperative period
Hospital infection
Prevention interventions
