切口牵开保护器预防腹部Ⅲ~Ⅳ类手术切口感染效果

Effect of wound protector on preventing incisional wound infection following class ⅢⅣincision abdominal operation

摘要:

目的探讨切口牵开保护器在预防腹部Ⅲ~Ⅳ类手术切口感染中的效果。方法2013年1月—2014年12月某院普通外科收治的Ⅲ~Ⅳ类腹部手术患者，根据是否使用切口牵开保护器将患者分为实验组（使用）和对照组（未使用），比较两组手术后切口感染发病率的差异。结果共监测患者310例，实验组150例，对照组160例。实验组手术切口感染发病率为 4.00%（6例），对照组为11.88%（19例），实验组手术切口感染发病率低于对照组，差异有统计学意义（χ2＝6.48，P＜0.05）。实验组患者平均手术时间、平均住院时间分别为（42.10±3.30）min、（7.00±2.20）d，均短于对照组［分别为（58.30±4.10）min、（10.00±3.50）d］, 实验组患者切口疼痛程度评分为（2.00±1.70）分，低于对照组的（3.00±1.80）分，差异均有统计学意义（均P＜0.05）。结论切口牵开保护器可有效降低Ⅲ~Ⅳ类腹部手术切口感染发病率。

关键词:

切口牵开保护器; 腹部手术; 切口感染; 手术部位感染; 医院感染

Abstract:

ObjectiveTo evaluate the effect of wound protector on preventing incisional wound infection following class ⅢⅣincision abdominal operation. MethodsPatients who had undergone class ⅢⅣincision abdominal operation from January 2013 to December 2014 were divided into  trial group and  control group according to whether they had used wound protector ,  incidence of postoperative incisional wound infection between two groups were compared. ResultsA total of 310 patients were monitored, 150 cases in  trial group, and 160 cases in control group. Incidence of incisional wound infection in trial group was significantly lower than control group (4.00% ［n=6］ vs  11.88%［n=19］,χ2＝6.48，P＜0.05）. The average operation time and length of hospital stay in trial group were both shorter than control group （［42.10±3.30］ min vs ［58.30±4.10］ min,  P＜0.05; ［7.00±2.20］d vs ［10.00±3.50］d , P＜0.05）, score of pain assessment of incision in trial group was lower than control group（［2.00±1.70］vs ［3.00±1.80］, P＜0.05）. ConclusionWound protector can effectively reduce the incidence of incisional wound infection following class ⅢⅣincision abdominal operation.

Key words:

wound protector; abdominal operation; incisional wound infection; surgical site infection; health careassociated infection