降低外阴癌手术切口感染护理措施及效果研究.docVIP

降低外阴癌手术切口感染护理措施及效果研究 　　【摘要】 目的：评价对比分析外阴癌术前备皮时间、方法及术后切口护理对降低术后切口感染的临床效果。方法：实验组26例，将术前备皮时间改为术晨执行，备皮方式改为先用消毒剪刀剪毛后用电动剃须刀剃毛，术后切口第4天改为开放式并每天用特定电磁波TDP照射；对照组28例，将术前备皮时间仍定为手术前1天执行，并用手动剃须刀剃毛，术后切口第4天仍采用传统敷料覆盖。结果：实验组能有效地降低术后切口感染率，与对照组比较差异有统计学意义（P0.05）。结论：应用改进的备皮时间、方法及切口护理措施是降低切口感染的重要手段。术后引流管护理、尿管护理、排便护理、预防褥疮及肺部并发症等均为降低切口感染率的有效方法，预防性抗生素的使用、肠道、阴道、外阴准备、病室环境准备是手术切口部位预防感染的辅助措施。 　　【关键词】 外阴癌； 切口感染； 备皮； 切口护理 　　【Abstract】 Objective： To evaluate reduced clinical infection effect by using preoperative skin method and time， postoperative incision care in vulva cancer. Method： 26 patients were set up experimental group who used preoperative skin preparation time for morning execution and operation skin preparation for sterilized scissors sheared with an electric razor shaving， postoperative fourth days open wounds and improved method of vulva with specific electromagnetic wave radiation TDP. 28 cases were set up control group who used preoperative skin preparation time was one day before the execution and operation manual razor shaving， postoperative fourth day still used medical dressing covered. Result： Compared with the control group， the experimental group could effectively reduce the postoperative wound infection， the difference was statistically significant （P0.05）. Conclusion： Using the improved skin preparation， methods and wound care measures are important means to reduce wound infection. Postoperative drainage tube care， catheter care， bowel care， prevention of pressure sores and pulmonary complications and so on are all effective method in reducing wound care infection， the use of prophylactic antibiotics， the intestinal tract， vagina， vulva ready， ready to ward environment are the auxiliary measures to solve the surgical incision site infection prevention. 　　【Key words】 Vulval carcinoma； Infection of incision； Preserved skin； Incision nursing 　　First-author’s address： Jiangxi Provincial Tumor Hospital， Nanchang 330029， China 　　doi：10.3969/j.issn.1674-4985.2014.22.036 　　外