应用慷舒灵含银抗菌敷料换药对术后切口感染的预防控制效果评价

发布时间：2019-08-24 20:25

【摘要】：目的探究应用慷舒灵含银抗菌敷料换药对患者切口部位感染的预防控制效果,旨在为临床预防和控制患者术后切口感染提供相应的依据和经验。方法选取2011年4月-2016年4月期间在医院接受治疗的行外科腹部疾病手术的患者602例,分为对照组和试验组,各301例;对照组患者采用常规的换药方法;试验组患者采用慷舒灵含银抗菌敷料换药方法,在对照组常规清洗的基础上,在患者伤口表面覆盖慷舒灵含银抗菌敷料,每2~3d换药1次,直至患者切口愈合;两组患者的疼痛程度采用VAS评分进行比较;观察比较两组切口愈合时间、换药费用、VAS评分、换药次数、SSI发生率、创缘反应、创面渗出量比例及切口甲级愈合率。结果第二、三、四次换药后,对照组创缘反应及创面渗出量数据高于试验组,P均0.05;试验组患者与对照组患者在愈合时间、换药费用及次数的数据比较,试验组均小于对照组(P0.05);试验组患者的SSI发生率为1.99%,对照组患者的SSI发生率为9.97%,对照组SSI发生率高于试验组(P0.05);试验组患者的切口甲级愈合率为86.38%,对照组患者的切口甲级愈合率为73.09%,试验组患者的切口甲级愈合率高于对照组,数据差异具有统计学意义(P0.05);第四次换药后试验组VAS评分为1.92±0.45,对照组VAS评分为4.11±0.62,试验组明显低于对照组(P0.05)。结论应用慷舒灵含银抗菌敷料换药能够降低患者术后切口感染率,促进切口愈合,减少换药次数,减轻经济负担,防控效果显著,值得临床推广。
[Abstract]:Objective to investigate the preventive and control effect of Shengshuling silver antibacterial dressing on incision site infection in order to provide corresponding basis and experience for clinical prevention and control of postoperative incision infection. Methods 602 patients with abdominal diseases treated in hospital from April 2011 to April 2016 were divided into control group (n = 301) and experimental group (n = 301), and the patients in the control group were treated with routine dressing change method, and the patients in the control group were divided into control group (n = 301) and experimental group (n = 301). On the basis of routine cleaning in the control group, the patients in the experimental group were covered with Kangshuling silver antibacterial dressing every 2 days until the incision healed, and the pain degree of the two groups was compared with VAS score, and the pain degree of the two groups was compared with that of the control group, and the pain degree of the two groups was compared with that of the control group, and the pain degree of the patients in the two groups was compared with that of the control group. The wound healing time, dressing change cost, VAS score, dressing change times, SSI incidence, wound margin reaction, wound exudation ratio and incision grade A healing rate were observed and compared between the two groups. Results after the second, third and fourth dressing changes, the data of wound edge reaction and wound exudation in the control group were higher than those in the experimental group (P 0.05), and the healing time, dressing change cost and times in the experimental group were lower than those in the control group (P 0.05). The incidence of SSI was 1.99% in the experimental group and 9.97% in the control group, and the incidence of SSI in the control group was higher than that in the experimental group (P 0.05). The wound grade A healing rate in the experimental group was 86.38%, and that in the control group was 73.09%. The incision grade A healing rate in the experimental group was significantly higher than that in the control group (P 0.05). After the fourth dressing change, the VAS score of the experimental group was 1.92 卤0.45, and that of the control group was 4.11 卤0.62, which was significantly lower than that of the control group (P 0.05). Conclusion the application of Shengshuling silver antibacterial dressing can reduce the infection rate of incision, promote the healing of incision, reduce the times of dressing change, reduce the economic burden, and the effect of prevention and control is remarkable, which is worth popularizing in clinic.
【作者单位】：山东大学附属省立医院外科;
【分类号】：R619.3

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