术前应用广谱杀菌剂擦浴对患者介入手术部位感染的影响

发布时间：2018-11-16 16:49

【摘要】：目的探究在介入手术前应用广谱杀菌剂洗必泰对患者术后介入手术部位感染的防治作用,为更好地防治介入手术后介入部位感染提供依据。方法选取2015年9月-2016年9月于医院接受各类介入手术的患者1 198例,所有患者均按随机数表法分为观察组和对照组,各599例;观察组在介入手术前应用广谱杀菌剂洗必泰,在患者接受介入手术后,对患者进行介入手术部位检查,比较观察组和对照组感染例数及感染率。结果观察组的血管造影术、冠状动脉造影术、冠状动脉内支架置入术、永久或临时起搏器安装/更换术、射频消融术、血管造影(介入治疗)、TACE术感染率和对照组比较差异均有统计学意义(P0.05);观察组患者介入手术部位感染率低于对照组,差异有统计学意义(P0.05)。结论术前应用广谱杀菌剂擦浴能够有效防止患者在术后介入手术部位的感染。
[Abstract]:Objective to explore the preventive and therapeutic effect of chlorhexidine before interventional operation on postoperative infection of interventional site in order to provide a basis for better prevention and treatment of infection of interventional site after interventional surgery. Methods from September 2015 to September 2016, 1 198 patients underwent various kinds of interventional surgery in hospital. All patients were randomly divided into two groups: observation group and control group, each with 599 cases. The observation group was treated with chlorhexidine, a broad-spectrum bactericide before interventional operation. After the patients received interventional operation, the site of intervention operation was examined, and the infection rate and infection rate were compared between the observation group and the control group. Results Angiography, intracoronary stent implantation, permanent or temporary pacemaker installation / replacement, radiofrequency ablation, angiography (interventional therapy) were performed in the observation group. The infection rate of TACE was significantly different from that of control group (P0.05). The infection rate of the patients in the observation group was lower than that in the control group (P0.05). Conclusion preoperative application of broad spectrum bactericide wiping bath can effectively prevent the infection of postoperative interventional site.
【作者单位】：西南医科大学护理学院;西南医科大学附属医院介入科;
【分类号】：R619.3

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