2%聚维酮碘凡士林纱布在预防阑尾切除术后切口感染中的应用研究
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摘要
目的评价2%聚维酮碘凡士林纱布预防阑尾切除术后切口感染临床疗效。方法 2015年11月至2017年3月河北省沧州中西医结合医院收治的阑尾炎180例,区组随机化分为两组,观察组90例以2%聚维酮碘凡士林纱布围绕切口,对照组90例以0. 5%聚维酮碘溶液浸洗切口,比较两组病人术后切口感染率、伤口拆线时间、住院时间以及病人满意度。结果对照组有10例病人发生切口感染,发生率为11. 11%,治疗组术后有3例病人发生切口感染,发生率为3. 33%(χ2=4. 063,P <0. 05);治疗组病人的伤口拆线时间(t=6. 499)以及住院时间(t=4. 348)显著优于对照组(P <0. 05);对照组满意人数为74例,满意率为82. 22%,治疗组满意人数为83例,满意率为92. 22%(χ2=4. 038,P <0. 05)。结论阑尾炎切除术中使用2%聚维酮碘凡士林纱布,能显著降低阑尾炎切口感染率,有利于病人病情康复,缩短病人住院时间,提高病人满意,值得临床进一步研究。
Objective To evaluate the clinical efficacy of 2% iodophor vaseline gauze in preventing incision infection after appendectomy. Methods 180 appendicitis patientsfrom November 2015 to March 2017 in our hospital were randomly divided into two groups,with90 cases in the treatment group treated with 2% iodophor gauze around the incision and 90 cases in the control group treated with0. 5% povidone iodine solution. Suture removal time,hospitalization time and patient satisfaction of incision infection after operation were compared between the two groups. Results There were 3 cases of patients with postoperative incision infection in the treatment group,the incidence rate was 3. 33%,while there were 10 patients with incision infection in the control group,the incidence rate was11. 11%(χ2= 4. 063,P < 0. 05); of patients with Wound stitches time(t = 6. 499) and hospitalization time(t = 4. 348) in the treatment group was significantly better than those in the control group(P < 0. 05); the treatment group with the number of 83 people and the satisfaction rate was 92. 22%,the control group with the number of 74 people,the satisfaction rate was 82. 22%(χ2= 4. 038,P <0. 05). Conclusion Using 2% iodophor vaseline gauze in appendicitis resection can significantly reduce the infection rate of appendicitis incision,which is beneficial to patients' recovery,shorten the hospitalization time,improve patient satisfaction,it is worthy of further clinical research.
Objective To evaluate the clinical efficacy of 2% iodophor vaseline gauze in preventing incision infection after appendectomy. Methods 180 appendicitis patientsfrom November 2015 to March 2017 in our hospital were randomly divided into two groups,with90 cases in the treatment group treated with 2% iodophor gauze around the incision and 90 cases in the control group treated with0. 5% povidone iodine solution. Suture removal time,hospitalization time and patient satisfaction of incision infection after operation were compared between the two groups. Results There were 3 cases of patients with postoperative incision infection in the treatment group,the incidence rate was 3. 33%,while there were 10 patients with incision infection in the control group,the incidence rate was11. 11%(χ2= 4. 063,P < 0. 05); of patients with Wound stitches time(t = 6. 499) and hospitalization time(t = 4. 348) in the treatment group was significantly better than those in the control group(P < 0. 05); the treatment group with the number of 83 people and the satisfaction rate was 92. 22%,the control group with the number of 74 people,the satisfaction rate was 82. 22%(χ2= 4. 038,P <0. 05). Conclusion Using 2% iodophor vaseline gauze in appendicitis resection can significantly reduce the infection rate of appendicitis incision,which is beneficial to patients' recovery,shorten the hospitalization time,improve patient satisfaction,it is worthy of further clinical research.
引文
[1]曹建国,李志洲,王晓刚,等.不同术式阑尾切除术后切口感染的对比分析一项大型多中心回顾性研究[J].中华普通外科杂志,2014,29(12):954-957.
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[3] SERRES SK,CAMERON DB,GLASS CC,et al. Time to appendectomy and risk of complicated appendicitis and adverse outcomes in children[J]. JAMA Pediatr,2017,171(8):740-746.
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[7]黄永泰,黄文伟,邓永嘉,等.阑尾切除术后切口局部冲洗对降低切口感染发生率的体会[J].临床合理用药杂志,2011,4(20):37-38.
[8]刘郁,于亮,耿加敏,等.阑尾区注入聚维酮碘预防阑尾切除术后切口感染的研究[J].中华医院感染学杂志,2015,25(14):3277-3279.
[9]谷小燕,徐海英,王芳.聚维酮碘治疗PICC穿刺点感染的效果观察[J].中国感染控制杂志,2016,15(1):64-65.
[10]张晓东.术前抗生素及术中聚维酮碘冲洗对阑尾炎切口感染的防治作用[J].现代中西医结合杂志,2011,20(30):3813-3814.
[11]易小龙,张琦,于红春,等.术中聚维酮碘冲洗联合微波治疗预防阑尾炎切口感染的疗效观察[J].山东医药,2015,55(1):96-97.
[12]张华科.基层医院急诊阑尾切除术后切口感染危险因素logistic分析[J].中国医院统计,2016,23(4):287-288,291.
[13]王雅静,陈惠珍,王冰姝,等.聚维酮碘与碘乙醇消毒液杀菌效果的试验观察[J].中国消毒学杂志,2013,30(11):1009-1011.
[14]罗英,梁永明.应用聚维酮碘冲洗切口预防阑尾切除术后感染112例分析[J].华夏医学,2012,25(5):753-755.
[2]陈海涛,吴礼武.切口保护措施对阑尾切除术后切口感染的预防作用[J].海南医学,2010,21(5):44-45.
[3] SERRES SK,CAMERON DB,GLASS CC,et al. Time to appendectomy and risk of complicated appendicitis and adverse outcomes in children[J]. JAMA Pediatr,2017,171(8):740-746.
[4]王浩.阑尾切除术后切口感染的诊治[J].医学信息,2013,26(22):139-140.
[5]夏春晓.阑尾切除术后切口感染的诊治研究[J].中国医药指南,2012,10(23):494-495.
[6]胡光晔.基层医院急诊阑尾切除术后切口感染危险因素分析[J].中国消毒学杂志,2013,30(7):682-683.
[7]黄永泰,黄文伟,邓永嘉,等.阑尾切除术后切口局部冲洗对降低切口感染发生率的体会[J].临床合理用药杂志,2011,4(20):37-38.
[8]刘郁,于亮,耿加敏,等.阑尾区注入聚维酮碘预防阑尾切除术后切口感染的研究[J].中华医院感染学杂志,2015,25(14):3277-3279.
[9]谷小燕,徐海英,王芳.聚维酮碘治疗PICC穿刺点感染的效果观察[J].中国感染控制杂志,2016,15(1):64-65.
[10]张晓东.术前抗生素及术中聚维酮碘冲洗对阑尾炎切口感染的防治作用[J].现代中西医结合杂志,2011,20(30):3813-3814.
[11]易小龙,张琦,于红春,等.术中聚维酮碘冲洗联合微波治疗预防阑尾炎切口感染的疗效观察[J].山东医药,2015,55(1):96-97.
[12]张华科.基层医院急诊阑尾切除术后切口感染危险因素logistic分析[J].中国医院统计,2016,23(4):287-288,291.
[13]王雅静,陈惠珍,王冰姝,等.聚维酮碘与碘乙醇消毒液杀菌效果的试验观察[J].中国消毒学杂志,2013,30(11):1009-1011.
[14]罗英,梁永明.应用聚维酮碘冲洗切口预防阑尾切除术后感染112例分析[J].华夏医学,2012,25(5):753-755.