不同敷料对老年骨折外固定患者切口感染的预防效果评价

发布时间：2018-04-05 09:26

本文选题：敷料　切入点：骨折　出处：《中华医院感染学杂志》2017年04期

【摘要】：目的观察德莫林喷剂对行外固定架治疗的骨折患者创口感染的预防效果。方法选择2015年1月-2016年1月医院收治并进行外固定支架治疗116例患者为研究对象,随机平均分为两组,各58例,对照组予以常规处理,试验组予以德莫林喷剂,对比两组患者愈合情况、更换敷料频率及感染病原菌分布情况。结果试验组患者5d内每日更换敷料数明显低于对照组(P0.05);试验组患者红肿发生率为13.79%,渗出发生率为12.07%,对照组红肿发生率为32.76%,渗出发生率为34.48%,两组患者红肿及渗出发生率差异有统计学意义(P0.05);试验组术后7d和14d针孔感染率分别为3.79%和9.20%,对照组术后7d和14d针孔感染率分别为17.49%和28.71%,差异有统计学意义(P0.05);第14天对两组已感染患者进行细菌培养,试验组7例发生感染,感染率为12.07%,对照组16例发生感染,感染率为27.59%,两组患者感染率比较差异有统计学意义(χ~2=4.3927,P0.05),试验组感染患者分离出8株病原菌,对照组患者分离出19株病原菌,金黄色葡萄球菌在两组患者分离菌中构成比均最高,分别占50.00%、42.11%。结论德莫林喷剂能有效防止外固定支架术后患者针孔感染,感染病原菌以金黄色葡萄球菌为主。
[Abstract]:Objective to observe the preventive effect of Demorin spray on wound infection in fracture patients treated with external fixator.Methods from January 2015 to January 2016, 116 patients treated with external fixation stent were randomly divided into two groups, 58 cases in each group. The control group was treated with routine treatment, and the experimental group was treated with Delmolin spray.The healing rate, dressing change frequency and distribution of infected pathogens were compared between the two groups.Results the number of dressing changes per day in the test group was significantly lower than that in the control group (P 0.05), the incidence of redness and exudation in the test group was 13.79, the incidence of exudation was 12.07, the incidence of redness and exudation in the control group was 32.76 and the incidence of exudation was 34.48.The incidence of redness and exudation in the two groups was significantly lower than that in the control group.The infection rate of needle holes in the experimental group was 3.79% and 9.20% on the 7th day and the 14th day after operation, and the infection rate of the needle hole in the control group was 17.49% and 28.71% respectively on the 7th and 14th days after operation, the difference was statistically significant (P 0.05), and the bacterial culture was carried out in the two groups on the 14th day.The infection rate was 12.07 in the test group and 27.59 in the control group. The difference between the two groups was statistically significant (蠂 ~ (2 / 2) 4.3927 / P0.05). Eight pathogenic bacteria were isolated from the infected patients in the test group.In the control group, 19 strains of pathogenic bacteria were isolated, and Staphylococcus aureus had the highest composition ratio in the two groups, accounting for 50.00-42.11% respectively.Conclusion Demolin spray can effectively prevent pinhole infection in patients after external fixation stenting. Staphylococcus aureus is the main pathogen of infection.
【作者单位】：郑州大学第五附属医院消毒供应中心;
【基金】：河南省指导性计划项目(201304028)
【分类号】：R687.3

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