CAJ | 학술논문

目的：观察两种不同手术薄膜铺巾法对剖宫产手术切口感染的影响。方法选取2011年10月至2012年4月该院剖宫产手术396例，分为两组：A组198例，皮肤消毒后先铺巾后贴薄膜，B组198例，皮肤消毒后先贴薄膜后铺巾，在手术开始切皮后及手术结束缝皮前提取切口表面涂擦液送细菌培养观察菌落数，并在关腹时观察切口周围布敷料的浸湿例数，同时在术后5～7d随访手术切口的愈合，以观察两种手术薄膜铺巾法对手术切口感染的影响。结果两组在手术开始切皮后切口表面涂擦液菌落生长数均为0例，差异无统计学意义（ P＞0．05）；关腹时切口周围布类敷料浸湿例数，A组为16例，B组为47例，差异有统计学意义（P＜0．05）；A组手术结束缝皮前切口表面涂擦液菌落生长数为1例，B组为4例，差异无统计学意义（P＞0．05）；A组术后切口感染为0例，B组为1例，差异无统计学意义（P＞0．05）。结论两种不同手术薄膜铺巾法对剖宫产手术切口感染无直接影响，但对布敷料浸湿程度的影响有差异，应加强手术切口感染的综合防控。
목적：관찰량충불동수술박막포건법대부궁산수술절구감염적영향。방법선취2011년10월지2012년4월해원부궁산수술396례，분위량조：A조198례，피부소독후선포건후첩박막，B조198례，피부소독후선첩박막후포건，재수술개시절피후급수술결속봉피전제취절구표면도찰액송세균배양관찰균락수，병재관복시관찰절구주위포부료적침습례수，동시재술후5～7d수방수술절구적유합，이관찰량충수술박막포건법대수술절구감염적영향。결과량조재수술개시절피후절구표면도찰액균락생장수균위0례，차이무통계학의의（ P＞0．05）；관복시절구주위포류부료침습례수，A조위16례，B조위47례，차이유통계학의의（P＜0．05）；A조수술결속봉피전절구표면도찰액균락생장수위1례，B조위4례，차이무통계학의의（P＞0．05）；A조술후절구감염위0례，B조위1례，차이무통계학의의（P＞0．05）。결론량충불동수술박막포건법대부궁산수술절구감염무직접영향，단대포부료침습정도적영향유차이，응가강수술절구감염적종합방공。
Objective To analyze the influence of different operation film drape styles on incision infection in cesarean section . Methods 396 patients of cesarean section in this hospital were divided into two groups from October 2011 to April 2012 .There were 198 patients in group A and 198 in group B .The operation film was pasted after operation sheet draped in group A ,the opera-tion film was pasted before operation sheet draped in group B .Subcutaneous tissue fluid was dipped after skin incision and before skin suture in every patient ,and the tissue fluid was bacterial cultured .Observed dressing infiltration degree after operation ,and fol-low up wound healing of incision after 5 to 7 d .Results The preoperational tissue fluid after skin incision had no bacterial growth in two groups (P>0 .05) .The dressing infiltration in group B (47 cases) was higher than in group A (16 cases) (P<0 .05) .The postoperative tissue fluid had one bacterial growth in group A ,and 4 in group B .The bacterial growth rate in group B was higher than in group A ,but there was no statistically significant (P>0 .05) .There was no postoperative infection happened in group A , and one in group B ,the difference was no significant between two groups (P>0 .05) .Conclusion Two operation film drape styles in cesarean section have no influence on postoperative incision infection ,but the dressing infiltration degree is different .So compre-hensive prevention and control is important to prevent postoperative incision infection .