论著·临床研究骨科术后伤口裂开风险因素分析*许胜,罗琦,舒宇,黄秀琴,勒世海,王晓东△(抚州市第一人民医院,江西抚州344000)[摘要]目的探讨骨科术后伤口裂开(SWD)潜在风险因素,为手术伤口管理及SWD防治提供科学依据。方法回顾性收集2015年1月至2022年12月该院160例骨科手术患者的临床资料,将80例骨科手术切口裂开患者作为病例组,80例手术切口愈合良好患者作为对照组,采用χ2检验比较2组患者体重指数(BMI)、既往或现在吸烟、围手术期低温、伤口感染、切口类型、基础疾病、合并贫血等的差异,应用logistic回归分析法进一步筛选潜在的风险因素。结果BMI、围手术期低温、切口类型、伤口感染、合并糖尿病、合并贫血为SWD的风险因素(优势比=6.24、1.10、3.41、10.81、1.21、1.65)。结论BMI、围手术期低温、切口类型、伤口感染、合并糖尿病、合并贫血骨科患者手术切口裂开的风险较高,应将该类患者纳入手术伤口裂开高危人群,予以重点管理。[关键词]医院骨科;手术;切口裂开;危险因素DOI:10.3969/j.issn.1009-5519.2023.21.012中图法分类号:R619文章编号:1009-5519(2023)21-3658-03文献标识码:AAnalysisofriskfactorsofsurgicalwounddehiscenceinorthopedics*XUSheng,LUOQi,SHUYu,HUANGXiuqin,LEShihai,WANGXiaodong△(TheFirstPeople'sHospitalofFuzhou,Fuzhou,Jiangxi344000,China)[Abstract]ObjectiveToexplorethepotentialriskfactorsofsurgicalwounddehiscence(SWD)inor-thopedics,andtoprovidescientificbasisforwoundmanagementandprevention.MethodsClinicaldataof160orthopaedicsurgerypatientsinourhospitalfromJanuary2015toDecember2022wereretrospectivelycollect-ed.Atotalof80patientswithdehiscitedorthopaedicsurgeryincisionsweretakenascasegroupand80pa-tientswithgoodsurgicalincisionhealingweretakenascontrolgroup.Thechi-squaretestwasusedtocomparethedifferencesofbodymassindex(BMI),previousorcurrentsmoking,perioperativehypothermia,woundin-fection,incisiontype,underlyingdiseases,andanemiabetweenthetwogroups.logisticregressionanalysiswasusedtofurtherscreenpotentialriskfactors.ResultsBMI,perioperativehypothermia,incisiontype,woundin-fection,combineddiabetesandcombinedanemiawereriskfactorsforSWD(oddsratio=6.24,1.10,3.41,10.81,1.21,1.65).ConclusionPatientswithBMI,perioperativehypothermia,incisio...
