两种冲洗液对预防老年消化道穿孔患者术后切口感染的效果评价

发布时间：2018-04-27 01:00

本文选题：冲洗液 + 老年　；参考：《中华医院感染学杂志》2017年12期

【摘要】：目的探索两种冲洗液对预防老年消化道穿孔患者术后切口感染的效果评价。方法选择医院2013年9月-2016年2月收治123例消化道穿孔行手术治疗的老年患者,分为观察组61例与对照组62例,对照组于术后采用生理盐水冲洗腹腔及手术切口,观察组采用甲硝唑溶液及双氧水溶液冲洗腹腔及手术切口;观察两组患者预防切口感染的效果,记录切口愈合与疼痛持续时间、下地行走时间、白细胞恢复时间。结果观察组切口甲级愈合率为80.33%,切口感染率最低11.48%,明显优于对照组(P0.05);比较两组患者术后情况,发现观察组切口愈合与切口疼痛持续时间、下地行走时间、白细胞恢复时间均明显低于对照组(P0.05);28例切口感染患者切口分泌物共培养出病原菌36株,其中革兰阳性菌15株占41.67%,革兰阴性菌21株占58.33%。结论采用两种冲洗液可有效改善老年消化道穿孔患者术后的切口愈合程度,减少切口感染的发生,明显提高术后恢复情况。
[Abstract]:Objective to evaluate the effect of two kinds of flushing fluids on prevention of incision infection in elderly patients with gastrointestinal perforation. Methods 123 elderly patients with digestive tract perforation were selected from September 2013 to February 2016. They were divided into observation group (61 cases) and control group (62 cases). The control group was treated with saline after operation. Metronidazole solution and hydrogen peroxide solution were used to wash abdominal cavity and operation incision, the effect of prevention of wound infection was observed, the duration of wound healing and pain, the time of walking under the ground, and the time of leukocyte recovery were recorded. Results the rate of incision A healing in the observation group was 80.33 and the incision infection rate was the lowest 11.48, which was significantly better than that in the control group (P 0.05). The recovery time of leukocytes was significantly lower than that of the control group (P 0.05). 36 strains of pathogenic bacteria were cultured in incision secretions of 28 patients with incision infection, of which 15 were Gram-positive bacteria (41.67) and 21 Gram-negative bacteria (58.33). Conclusion the use of two kinds of flushing solution can effectively improve the wound healing degree, reduce the incidence of incision infection and improve the postoperative recovery in elderly patients with gastrointestinal perforation.
【作者单位】：聊城市人民医院西区手术室;
【基金】：山东省医药卫生科技发展计划基金资助项目(2014WS0300)
【分类号】：R656.1

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