3M含碘抗菌手术薄膜对全髋膝关节置换手术切口影响的实验研究.docVIP

3M含碘抗菌手术薄膜对全髋膝关节置换手术切口影响的实验研究 　　摘要：目的 探讨3M含碘抗菌手术薄膜对全髋膝关节置换手术切口的保护作用，为全髋膝关节置换手术部位感染寻求新的更好的预防方法。方法 选择2012年4月～2013年12月在我院进行全髋膝关节置换手术的患者80例，采用随机数字法分为观察组和对照组各40例，对照组患者手术切口粘贴普通手术薄膜，观察组患者手术切口粘贴含碘抗菌手术薄膜，切口处取样进行细菌培养后，比较两组患者的细菌培养结果及预后质量。结果 观察组患者细菌培养阳性率明显低于对照组（P0.01）；观察组患者伤口愈合程度明显优于对照组（P0.01）；观察组患者伤口愈合时间以及住院时间均明显短于对照组（P0.01）；治疗后，两组患者膝关节状态和功能均明显改善（P0.05），但观察组明显优于对照组（P0.05）；两组患者疼痛程度均明显缓解（P0.05），但观察组明显弱于对照组（P0.05）；上述差异具有统计学意义。结论 3M含碘抗菌手术薄膜对全髋膝关节置换手术切口具有保护作用，可降低感染发生率。 　　关键词：3M含碘抗菌手术薄膜；全髋膝关节置换手术；手术部位感染；住院时间；伤口愈合时间 　　Abstract：Objective To investigate the protection of 3M iodine operation film on operative incision of total hip and knee arthroplasty in order to find the new preventive method of surgical site infection in total hip and knee arthroplasty. Methods 80 cases of patients conducted total hip and knee arthroplasty in our hospital from April 2012 to December 2013. They were randomly divided into control group and observation group. The common surgical film were pasted on the incision of patients in control group， while the iodine antimicrobial surgical film were pasted on the incision of patients in observation group. The bacterial culture result and prognosis quality of patients of two groups after samples from incision collected for bacterial culture were compared. Results The positive rate of bacteria culture of observation group was significantly lower than that of control group （P0.01）. The degree of wound healing of observation group was significantly better than that of control group （P0.01）. The hospitalization time and the wound healing time were significantly shorter than that of control group （P0.01）. After operation， the state and function of knee joint of both groups improved significantly （P0.05）， while they of observation group were significantly better than that of control group （P0.05）. After operation， the degree of both groups reduced obviously （P0.05）， but it of observation group was significantly weaker than that of control group （P0.05）. Conclusio