自制引流管在腹部切口感染中的应用.doc

自制引流管在腹部切口感染中的应用 钟冬梅 摘要 目的 观察自制引流管在腹部切口感染中的应用价值。方法 将83例腹部切口感染 患者分为治疗组(n=42)和对照组(n=41)。对照组给予乳酸依沙吖啶溶液纱条引流至切口 愈合或换药至肉芽生长新鲜后行二期缝合;治疗组给予自制引流管引流。结果 治疗7天后， 治疗组疗效为(2.6?0.3)，对照组为(1.8?0.9)，经比较，P,0.05，有统计学差异;治 疗组模拟视觉评估、治愈时间、平均换药次、切口瘢痕宽度及换药费用等各项指标均优于对 照组，P均,0.05，有统计学差异。结论 自制引流管引流治疗腹部切口感染安全、有效， 操作简单，值得临床推广。 关键词 切口感染 自制引流管 效果 The self-made drainage tube used in abdominal incision infection. Zhong dong-mei, The Peoples Hospital of Nan xiong, Nanxiong Guangdong，512400 China. Abstract Objective To observe the drainage tube application value in the abdominal incision infection.Methods The patients were randomly divided into the treatment group of 83 cases of abdominal incision infection (n=42) and control group (n=41). The control group was given Ethacridine Lactate Solution gauze to wound healing or dressing to fresh granulation tissue grew after the two suture; treatment group were treated with self-made drainage.Results 7 days after treatment, the curative effect of treatment group was (2.6 ? 0.3), control group (1.8 ? 0.9), by comparison, P 0.05, there is significant difference between the treatment group simulation; visual assessment, cure time, average dressing time, incision scar width and change fees and other indicators are better than the control group, P 0.05, there was significant difference.Conclusions The self-made drainage tube drainage in the treatment of abdominal incision infection is safe and effective, simple operation, is worth the clinical promotion. Key Words Incision infection; The self-made drainage tube; Effect 手术切口部位感染(Surgical site infection，SSI)是常见的并发症，发生率为9.7%, 17.7%，约占医院感染病例25.0%[1]。切口感染时，以往多采用切口敞开引流再二期缝合的 方法治疗，但该方法愈合慢，瘢痕大，影响美观，增加了患者的经济和心理、生理负担，引 发医疗纠纷。为了促进感染切口的愈合，本文采用自制的引流管进行引流，取得了满意的效 果。现报道如下。 1资料与方法 1.1临床资料 2011年1月~2013年5月共收治腹部手术切口感染患者83例，按照外科手 术部位感染(SSI)的定义标准和分类为切口浅部感染[2]。其中，男39例，女44例，年龄 21~67岁，平均(53.1?3.6)岁;胃肠道手术45例，肝胆手术20例，泌尿系手术12例， 妇科手术6例;参照黄家驷外科学切口分类和愈合情况的分级[3]:?类切口32例，?类切 口51例;乙级愈合切口26例，丙级愈合切口57例。所有患者切口感染发生在手术后30 天以内。剔除标准:切口深部