葡萄糖酸氯己定术前清洗对儿童会阴部手术后感染预防效果

发布时间：2018-06-09 01:05

本文选题：儿童患者 + 会阴部手术　；参考：《中国消毒学杂志》2017年08期

【摘要】：目的研究葡萄糖酸氯己定术前清洗对儿童会阴部手术后感染的预防效果。方法通过感染监测和临床观察,研究葡萄酸氯己定消毒液术前清洗方法某医院住院患儿会阴部手术后感染及其不良反应情况,同时与传统清洗方法作平行比较观察。结果 321例所有患儿顺利完成清洗操作,用葡萄糖酸氯己定消毒液清洗法(试验组)的156例会阴部手术的患儿未出现局部或全身不适,术后医院感染发生率为1.28%。传统清洗法(对照组)165例会阴部手术的患儿中,出现6例患儿清洗区域皮肤发红、干燥不适,不良反应率为3.64%;术后医院感染发生率为6.67%。结论使用浓度为40 g/L的葡萄糖酸氯己定消毒液作术前清洗,能够显著减少会阴部手术患儿术后感染率。
[Abstract]:Objective to study the preventive effect of chlorhexidine gluconate before operation on perineal infection in children. Methods by means of infection monitoring and clinical observation, the infection and adverse reactions of children hospitalized in a hospital after perineum operation were studied, and the results were compared with those of traditional cleaning methods. Results 321 cases of children successfully completed the cleaning operation. 156 cases of children who were treated with chlorhexidine gluconate disinfectant (test group) had no local or systemic discomfort. The incidence of postoperative nosocomial infection was 1.28%. Traditional cleaning method (control group, 165 cases of children with pudendal surgery, 6 cases of children with redness, dry and unwell skin, adverse reaction rate of 3.64%, postoperative nosocomial infection rate of 6.67%). Conclusion using 40 g / L chlorhexidine gluconate disinfectant for preoperative cleaning can significantly reduce the postoperative infection rate in children undergoing perineal surgery.
【作者单位】：四川大学华西医院;
【分类号】：R187.2

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