负压封闭引流术在预防直肠癌患者手术切口感染的临床分析

发布时间：2018-05-02 05:12

本文选题：负压封闭引流术 + 直肠癌　；参考：《中华医院感染学杂志》2016年04期

【摘要】：目的观察负压封闭引流术对预防直肠癌患者手术切口感染的临床效果,为直肠癌手术患者临床治疗提供依据。方法选取2012年1月-2015年1月南阳市中心医院诊治的直肠癌手术患者98例,随机分为试验组与对照组,每组各49例,对照组使用常规换药模式,试验组在对照组基础上使用负压封闭引流术,观察两组患者术后切口感染率、并发症发生率及切口愈合情况,数据采用SPSS16.0统计软件进行分析。结果患者术后切口感染率试验组为4.1%、对照组为18.4%,两组患者术后切口感染率比较,差异有统计学意义(P0.05);两组患者的切口愈合时间分别为(8.1±1.9)d和(11.5±2.8)d,换药次数分别为(2.5±1.8)次和(4.9±3.1)次,两组患者在愈合时间以及换药次数比较,差异有统计学意义(P0.05);两组患者均未发生切口裂开以及肿瘤种植等并发症,两组患者的并发症发生率比较,差异无统计学意义。结论负压封闭引流术能有效减少直肠癌手术患者切口感染,缩短患者的切口愈合时间,改善患者预后,提高患者生活质量,值得在临床直肠癌手术患者中推广使用。
[Abstract]:Objective to observe the clinical effect of negative pressure blocking drainage on the prevention of surgical incision infection in patients with rectal cancer, and to provide evidence for the clinical treatment of rectal cancer patients. Methods from January 2012 to January 2015, 98 patients undergoing rectal cancer surgery in Nanyang Central Hospital were randomly divided into two groups: experimental group (n = 49) and control group (n = 49). The patients in the experimental group were treated with negative pressure blocking drainage on the basis of the control group. The infection rate, the incidence of complications and the wound healing of the two groups were observed. The data were analyzed by SPSS16.0 software. Results the incision infection rate in the experimental group was 4.1 and that in the control group was 18.4.The difference between the two groups was statistically significant (P 0.05), the wound healing time of the two groups was 8.1 卤1.9 days and 11.5 卤2.8 days, and the times of dressing change were 2.5 卤1.8 and 4.9 卤3.1 times, respectively. There was no significant difference in the healing time and the times of dressing change between the two groups. There were no complications such as incision rupture and tumor implantation between the two groups, but there was no significant difference in the incidence of complications between the two groups. Conclusion negative pressure closed drainage can effectively reduce incision infection, shorten wound healing time, improve prognosis and improve the quality of life of patients with rectal cancer. It is worth popularizing in patients undergoing rectal cancer surgery.
【作者单位】：南阳市中心医院创伤科;南阳市中心医院普外科;河南省淅川县人民医院普外科;河南省淅川县人民医院肝脏外科;河南省肿瘤医院肝脏外科;
【基金】：河南省卫生厅基金资助项目(102300410056)
【分类号】：R473.73

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