摘要
目的探究应用慷舒灵含银抗菌敷料换药对患者切口部位感染的预防控制效果,旨在为临床预防和控制患者术后切口感染提供相应的依据和经验。方法选取2011年4月-2016年4月期间在医院接受治疗的行外科腹部疾病手术的患者602例,分为对照组和试验组,各301例;对照组患者采用常规的换药方法;试验组患者采用慷舒灵含银抗菌敷料换药方法,在对照组常规清洗的基础上,在患者伤口表面覆盖慷舒灵含银抗菌敷料,每2~3d换药1次,直至患者切口愈合;两组患者的疼痛程度采用VAS评分进行比较;观察比较两组切口愈合时间、换药费用、VAS评分、换药次数、SSI发生率、创缘反应、创面渗出量比例及切口甲级愈合率。结果第二、三、四次换药后,对照组创缘反应及创面渗出量数据高于试验组,P均<0.05;试验组患者与对照组患者在愈合时间、换药费用及次数的数据比较,试验组均小于对照组(P<0.05);试验组患者的SSI发生率为1.99%,对照组患者的SSI发生率为9.97%,对照组SSI发生率高于试验组(P<0.05);试验组患者的切口甲级愈合率为86.38%,对照组患者的切口甲级愈合率为73.09%,试验组患者的切口甲级愈合率高于对照组,数据差异具有统计学意义(P<0.05);第四次换药后试验组VAS评分为1.92±0.45,对照组VAS评分为4.11±0.62,试验组明显低于对照组(P<0.05)。结论应用慷舒灵含银抗菌敷料换药能够降低患者术后切口感染率,促进切口愈合,减少换药次数,减轻经济负担,防控效果显著,值得临床推广。
OBJECTIVE To explore the effect of Kangshuling silver antimicrobial dressing on prevention and control of incision infections so as to provide guidance for clinical prevention and control of postoperative incision infections.METHODS A total of 602 patients with abdominal disease who received surgical procedures in the hospital from Apr 2014 to Apr 2016 were enrolled in the study and divided into the control group and the experimental group,with 301 cases in each group.The control group was treated with conventional drug dressing,while the experimental group was given Kangshuling silver antimicrobial dressing,on the basis of the conventional cleaning,the wound surfaces were covered with Kangshuling silver antimicrobial dressing,and the drug dressing was changed once for every 2-3 days till the incision was healed.The pain degree was compared between the two groups of patients by means of VAS score;the incision healing time,drug dressing cost,VAS score,times of dressing change,incidence of SSI,wound edge responses,proportion of wound exudation volume,and grade A in cision healing rate were observed and compared between the two groups of patients.RESULTS The wound edge responses and wound exudation volume of the control group were significantly higher than those of the experimental group after the second,third,and fourth dressing change （all P〈0.05）.The healing time,dressing change cost,and times of dressing change were significantly less in the experimental group than in the control group （P〈0.05）.The incidence rate of SSI of the control group was 9.97%,significantly higher than 1.99% of the experi mental group （P〈0.05）.The grade A incision healing rate of the experimental group was 86.38%,significantly （P〈0.05）.The VAS score of the experimental group was 1.92＆#177;0.45 after higher than 73.09% of the control group the fourth dressing change,significantly lower than 4.11＆#177;0.62 of the control group （P〈0.05）.CONCLUSION Kangshuling silver antimicrobial dressing may reduce the inci
作者
张慧霞
司保才
刘路光
赵丽娟
曾庆兰
ZHANG Hui-xia SI Bao-cai LIU Lu-guang ZHAO Li-juan ZENG Qing-lan(Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第12期2775-2778,共4页
Chinese Journal of Nosocomiology
关键词
慷舒灵含银抗菌敷料
切口感染
预防控制效果
Kangshuling silver antimicrobial dressing
Incision infection
Prevention effect
