摘要
目的探讨分析急诊外科创伤手术切口感染的原因,总结临床经验,制定相关预防措施,防止切口感染。方法选取医院2012年6月-2013年6月急诊外科收入的200例行创伤手术患者作为研究对象,将其随机分为试验组、对照组,每组各100例,对照组患者行常规切口清洁处理;试验组患者在常规清洁切口的基础上,加以抗感染治疗,两组患者手术后,均行常规护理干预,对比两组患者术后发生切口感染与疼痛状况,探讨预防感染的措施。结果试验组患者中3例术后发生切口感染,感染率3.0%,低于对照组患者的27.0%,差异有统计学意义(P<0.05);试验组患者VAS评分为(2.32±1.04)分,低于对照组患者的(4.43±1.48)分,差异有统计学意义(P<0.05)。结论切口感染与患者创口的清洁程度密切相关,急诊外科创伤手术切口发生感染的主要原因为创口清洁不彻底;医护人员应加强消毒意识,提高院内的空气质量,保证患者创口、医疗器械的清洁并行适当的抗感染、营养支持治疗,以达到预防患者切口感染的目的。
OBJECTIVE To explore the causes of incision infections in patients undergoing emergency trauma sur-gery ,summarize the clinical experience ,and put forward related prevention measures so as to prevent the incision infections .METHODS A total of 200 patients who underwent the trauma surgery in the emergency surgery depart-ment from Jun 2012 to Jun 2013 were recruited as the study objects and randomly divided into the experimental group and the control group ,with 100 cases in each ;the control group was treated with conventional incision cleaning ,while the experimental group was given the additional anti-infection therapy based on the conventional in-cision cleaning ,and the conventional nursing interventions were taken to the patients in both groups after the sur -gery ;the incidence of postoperative incision infections and the pain condition were observed and compared between the two groups ,and the prevention measures of infections were put forward .RESULTS The postoperative incision infections occurred in 3 cases in the experimental group with the infection rate of 3 .0% ,significant lower than 27 . 0% of the control group （P〈 0 .05） .The VAS score of the experimental group was （2 .32 ± 1 .04）points ,signifi-cant lower than （4 .43 ± 1 .48）points of the control group （P〈 0 .05） .CONCLUSION The incidence of incision in-fections is closely associated with the wound cleanliness ,and the poor wound cleaning is the leading cause of the postoperative incision infections in the patients undergoing the emergency wound surgery .It is necessary for the health care workers to strengthen the awareness of disinfection ,improve the indoor air quality ,make sure that the wound and medical instruments are clean ,and conduct appropriate anti-infection and nutrition support therapy so as to prevent the incision infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第6期1344-1346,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生基金资助项目(2011KYA114)
关键词
急诊外科
手术切口
感染
预防
Emergency surgery department
Surgical incision
Infection
Prevention
