摘要
目的:研究双套管负压引流术对胃肠术后患者腹腔感染的疗效及双套管负压引流术的护理方式.方法:选取2012-05/2013-05在承德市中心医院外科就诊行胃肠手术并在术后进行腹腔引流的患者80例.随机分为2组,各40例,实验组术后护理采用双套管负压引流术,对照组术后护理采用传统乳胶引流方式.比较二者术后腹腔感染例数、感染微生物和拔管时间.结果:实验组的感染率(10%)明显低于对照组(37.5%),差异有统计学意义(P<0.05);实验组金色葡萄球菌的感染例数明显少于对照组,差异有统计学意义(P<0.05);实验组鲍曼不动杆菌感染、真菌感染例数均低于对照组,差异无统计学意义(P>0.05);实验组拔管时间(10 d±1.5 d)小于对照组拔管时间(12 d±2.3 d),差异有统计学意义(P<0.05).结论:双套管负压引流应用于胃肠术后患者可有效减少术后感染,尤其是金色葡萄球菌的感染,缩短患者伤口愈合时间.
AIM： To assess the effect of double-tube negative pressure drainage in the prevention of intraabdominal infections in patients after gastrointestinal operation and to investigate appropriate nursing intervention. METHODS： Eighty patients with intra-abdominal infections after gastrointestinal operation treated at our hospital from May 2012 to May 2013 were enrolled and randomly divided into two groups（40 cases in each one） to receive double-tube negative pressure drainage（study group） and traditional latex drainage（controlgroup）, respectively. The number of cases of abdominal infection, the infective microorganisms, and the time to removal of drainage tube were analyzed and compared between the two groups.RESULTS： The infection rate was significantly lower in the study group（10%） than in control group（37.5%）（P〈0.05）. The number of cases infected with Staphylococcus aureus was significantly less in the study group than in the control group（P〈0.05）. The numbers of cases infected with Acinetobacter baumannii and fungi were less in the study group than in the control group, but the differences were not significant（P〈0.05）. The time to removal of drainage tube was significantly shorter in the study group（10 d ± 1.5 d） than in the control group（12 d ± 2.3 d）（P〈0.05）. CONCLUSION： Double-tube negative pressure drainage after gastrointestinal operation can reduce postoperative infections, especially Staphylococcus aureus infection, and shorten the time to recovery.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第29期4510-4513,共4页
World Chinese Journal of Digestology
关键词
胃肠术
双套管负压引流术
传统乳胶管引流术
术后护理方式
Gastrointestinal operation
Double-tube negative pressure drainage
Traditional latex drainage
Postoperative nursing
