CAJ | 학술논문

目的加强改进手术室的配合和护理,预防消化道手术后切口感染. 方法收集1999-2006年所有消化道手术及术后切口丙级愈合病历资料337份.2003年始对消化道手术切口感染预防逐步采用系列的强化措施,包括启用新的外科洗手方法;改进皮肤消毒方式,采用先用乙醇给患者皮肤脱脂后再以碘伏消毒的方式;进腹后放置切口保护器和洁净袋保护切口;改用新的消化道吻合口消毒液;规范手术顺序的安排,手术间的清洁管理.对1999-2002年和2003-2006年2个时期病例的消化道手术术后切口感染的发生率进行χ2检验. 结果改进的强化的消化道手术切口护理后的切口感染率显著低于以前,1999-2002年和2003-2006年2个时期病例的切口丙级愈合数率比较差异显著. 结论改进的强化的消化道手术切口护理措施可显著降低切口感染率.
목적 가강개진수술실적배합화호리,예방소화도수술후절구감염. 방법 수집1999-2006년소유소화도수술급술후절구병급유합병력자료337빈.2003년시대소화도수술절구감염예방축보채용계렬적강화조시,포괄계용신적외과세수방법;개진피부소독방식,채용선용을순급환자피부탈지후재이전복소독적방식;진복후방치절구보호기화길정대보호절구;개용신적소화도문합구소독액;규범수술순서적안배,수술간적청길관리.대1999-2002년화2003-2006년2개시기병례적소화도수술술후절구감염적발생솔진행χ2검험. 결과 개진적강화적소화도수술절구호리후적절구감염솔현저저우이전,1999-2002년화2003-2006년2개시기병례적절구병급유합수솔비교차이현저. 결론 개진적강화적소화도수술절구호리조시가현저강저절구감염솔.
Objecltive To intensify the coordination and nursing in the operation room in order to prevent surgical site infection after gastrointestinal operation. Methods 337 medical history of patients received gastrointestinal operation and third rate healing from 1999 to 2006 were collected. A series of intensified measures were applied to surgical site infection from 2003 gradually, including invocation of new surgical handwashing method, modified skin disinfection manner, adoption of degreasing with ethanol first before disinfection with iodophor, placement of incision protector and clean bag for incision protection after entering abdomen, changing to use new gastrointestinal anastomofic thimerosal,standardization of operation order and clean manage-ment in operation room. The incidence rate of surgical site infection after gastrointestinal operation of patients from 1999 to 2002 and from 2003 to 2006 underwent χ2 test. Results The incidence rate of surgical site in-fection after gastrointestinal operation greatly decreased after adoption of intensified nursing intervention, Signifi-cant difference existed in rate of patients with third rate healing between the year 1999 to 2002 and 2003 to 2006. Conclusions Modified nursing intervention for surgical incision after gastrointestinal operation can de-crease incision infection rate evidently.