碘伏预防上消化道穿孔术后切口感染.docVIP

碘伏预防上消化道穿孔术后切口感染【摘要】目的:探讨碘伏冲洗切口预防上消化道穿孔术后切口感染在临床的应用价值。 方法:上消化道穿孔手术治疗病人201例，随机分为治疗组和对照组，治疗组在对照组常规处理的基础上，在缝闭腹膜后用0.5%碘伏液浸泡切口5 min，再用生理盐水冲洗一遍，最后逐层缝合。 结果:治疗组123例，发生感染4例，感染率为3.25%；对照组78例，发生感染13例，感染率为16.67%，治疗组切口发生感染率较对照组明显降低，二者比较有统计学意义。 结论:应用0.5%碘伏冲洗切口预防上消化道穿孔切口感染可做为降低切口感染的一种方法。 【关键词】上消化道穿孔;碘伏;切口感染 【中图分类号】R619【文献标识码】B【文章编号】1008-6455（2011）04-0471-01 Iodophor in Preventing Postoperative Wound Infection of Upper Gastrointestinal Perforation ――123 cases of clinical observation Zhang Jianxun Ge Xin Meng Qiaofen et al. 【Abstract】To investigate the clinical application value of using iodine to wash incision wound to prevent infection after upper gastrointestinal perforation. Method： With 201 patients treated with upper gastrointestinal perforation, Patients were randomly divided into treatment group and control group. The treatment group were given conventional treatment, and then soaked the cut 5 minutes with 0.5% iodophor after stitching the Peritoneum, then wash the wound with NS again, and finally sutured layer by layer. The treatment group including 123 patients, 4 cases of infection, the infection rate was 3.25%; the control group including 78 patients, 13 cases of infection, the infection rate was 16.67%. Compared with the control group, the incision infection rate of treatment group was significantly lower and the result is statistically Significant. Conclusion:with 0.5% iodophor to wash incision in preventing wound infection of upper gastrointestinal perforation is an efficient method to reduce wound infection. 【Key words】Upper gastrointestinal tract perforation;Iodophor; Wound infection 胃十二指肠溃疡穿孔是临床常见的外科危重病，其病情发展快，极易发生严重并发症，若不及时诊治和延误手术，极易发生临床死亡。上消化道穿孔修补术是临床治疗上消化道穿孔常用的方法之一，上消化道穿孔修补术后的切口感染率仍较多，感染发生后，轻者增加患者心理生理上的痛苦和经济上的负担，重者可致使手术失败、致残甚至死亡。如何降低上消化道穿孔修补术后的切口感染是腹部外科探讨的一个重要方面。我院自2009年1月至2010年1月对123例病人采用了络合碘冲洗切口的方法，取得了良好的效果。报告如下。 1 资料与方法 1.1 临床资料：本组上消化道穿孔病人201例，年龄16～72岁，平均年龄32岁。随机分为治疗组和对照组。治疗组123例，其中发病6小时内就诊者65例，12小时内就诊者36例，24小时内就诊者22例。对照组78例，其中发