两种铺巾对剖宫产手术切口感染的影响研究

发布时间：2018-06-29 08:00

本文选题：无纺布铺巾 + 纺织布类铺巾　；参考：《中华医院感染学杂志》2017年02期

【摘要】：目的观察一次性无纺布铺巾与传统纺织布类铺巾对剖宫产手术切口感染的影响。方法选取医院2016年1-3月符合纳入标准的剖宫产手术产妇248例,分为2组,试验组124例使用一次性无纺布铺巾,对照组124例使用传统纺织布类铺巾;在手术开始划皮前、后及手术结束缝皮前提取切口表面涂擦液,送细菌培养观察菌落数量及种类,观察术中出血、羊水对切口周围铺巾的影响,术后3~5d随访术后切口愈合情况。结果试验组和对照组在手术开始划皮前、后切口表面涂擦液菌落生长数均为0,手术结束缝皮前切口表面涂擦液菌落生长数试验组1例,对照组2例,两组差异无统计学意义;试验组在关腹时由于无纺布洞巾安置不当导致术中血液及羊水外渗5例,对照组关腹时切口周围敷料全部浸湿,差异有统计学意义(P0.05)。结论一次性无纺布铺巾与传统纺织布类铺巾对剖宫产手术切口感染无直接影响,但对切口周围敷料的浸湿或者外渗程度的影响有差异,因此要采取合理措施加强剖宫产手术切口感染的综合预防控制。
[Abstract]:Objective to observe the effect of disposable non-woven towel and traditional textile cloth on incision infection in cesarean section. Methods 248 cases of cesarean section women in hospital from January to January 2016 were divided into two groups. 124 cases in the test group were given disposable non-woven cloth towel, and 124 cases in the control group were treated with traditional textile cloth. After and before the operation, the surface of the incision was extracted and smeared, the number and type of colony were observed by bacterial culture, the effect of bleeding and amniotic fluid on the tissue laying around the incision was observed, and the wound healing was followed up for 3 days and 5 days after operation. Results the number of colony growth was 0 in the experimental group and in the control group before the beginning of the operation. There was no significant difference between the two groups in the experimental group (1 case) and the control group (2 cases). There were 5 cases of extravasation of blood and amniotic fluid due to improper placement of non-woven tissue during abdominal closure in the test group, while all dressing around incision in the control group was soaked at the time of abdominal closure, the difference was statistically significant (P0.05). Conclusion there is no direct effect on incision infection in cesarean section between disposable non-woven cloth and traditional textile cloth, but there is a difference on the degree of wetting or exosmosis of dressing around the incision. Therefore, reasonable measures should be taken to strengthen the comprehensive prevention and control of incision infection in cesarean section.
【作者单位】：浙江中医药大学;杭州市第一人民医院手术室;杭州市第一人民医院护理部;杭州市第一人民医院妇产科;
【基金】：浙江省自然青年基金(LQ15H040002)
【分类号】：R719.8

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