摘要
目的探讨皮下置硅胶引流管负压引流在预防腹腔重度污染开腹手术切口感染的作用,以预防切口感染。方法选取2012年4月-2014年4月收治的接受开腹手术治疗患者40例,作为观察组,另回顾性调查2010年3月-2012年3月收治的同样接受开腹手术治疗患者38例作为对照组,对照组患者给予常规性缝合关腹,采用多次换药处理;观察组患者给予皮下置硅胶引流管负压引流,比较两组患者的临床效果。结果观察组患者术后住院、体温恢复及切口愈合等时间均显著少于对照组,观察组患者切口甲级愈合率97.50%,显著高于对照组的81.58%,差异有统计学意义(P<0.05);患者切口感染率及感染切口敞开换药二期缝合率观察组均为0,对照组切口感染率15.79%、感染切口敞开换药二期缝合率10.53%,两组患者比较差异均有统计学意义(P<0.05)。结论对腹腔重度污染开腹手术患者实施皮下置硅胶引流管负压引流,可预防术后切口感染,临床效果显著。
OBJECTIVE To explore the clinical effect of subcutaneous silicone drainage tube negative pressure drain -age on prevention of severe abdominal contamination of the patients undergoing laparotomy so as to prevent the ab -dominal contamination .METHODS A total of 40 patients who underwent laparotomy from Apr 2012 to Apr 2014 were assigned as the observation group ,and 38 patients who underwent the laparotomy from Mar 2010 to Mar 2012 were set as the control group .The patients in the control group were treated with conventional suture for ab-dominal closure combined with multiple drug dressings ,while the patients in the observation group were given the subcutaneous silicone drainage tube negative pressure drainage ;the clinical effect was observed and compared be-tween the two groups of patients .RESULTS The time of abdominal closure ,postoperative hospitalization duration , time of anal exhaust ,time of body temperature recovery ,and time of incision healing of the observation group were significantly shorter than those of the control group .The grade A incision healing rate of the observation group was 97 .50% ,significantly higher than 81 .58% of the control group （P〈 0 .05） .The incidence of incision infections was 0 in the observation group ,15 .79% in the control group ;the rate of open dressing and secondary suture for infected incision was 0 in the observation group ,10 .53% in the control group ,there was significant difference between the two groups （ P 〈 0 .05） .CONCLUSION The subcutaneous silicone drainage tube negative pressure drainage can contribute to the prevention of postoperative incision infections in the patients with severe abdominal contamination undergoing laparotomy ,with the clinical effect significant .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第6期1369-1371,共3页
Chinese Journal of Nosocomiology
基金
浙江省医学会临床科研基金资助项目(2011ZYC-A99)
关键词
皮下置硅胶引流管
负压引流
预防
腹腔重度污染
开腹手术
切口感染
Subcutaneous silicone drainage tube
Negative pressure drainage
Prevention
Severe abdominal con-tamination
Laparotomy
Infection of incision
