CAJ | 학술논문

目的：探讨两种皮肤切口保护方法在腹部Ⅱ类手术中的正确应用。方法选取2011年01月至2011年10月在我院普外科实施腹部Ⅱ类手术的患者200例，随机分成实验组1和实验组2，每组100例。实验组1用棉质皮肤保护巾进行切口保护，实验组2用一次性手术薄膜进行切口保护，两组均在皮肤消毒后和关闭腹腔前进行切口周围表面细菌培养采样监测，并观察术后切口愈合情况。结果实验组1切口周围物体表面细菌培养阳性率随手术时间的延长而增高，实验组2切口周围物体表面细菌培养阳性率变化不显著。结论根据腹部Ⅱ类手术持续时间来选用不同的手术切口保护方法，可减少术后的切口感染率。
목적：탐토량충피부절구보호방법재복부Ⅱ류수술중적정학응용。방법선취2011년01월지2011년10월재아원보외과실시복부Ⅱ류수술적환자200례，수궤분성실험조1화실험조2，매조100례。실험조1용면질피부보호건진행절구보호，실험조2용일차성수술박막진행절구보호，량조균재피부소독후화관폐복강전진행절구주위표면세균배양채양감측，병관찰술후절구유합정황。결과실험조1절구주위물체표면세균배양양성솔수수술시간적연장이증고，실험조2절구주위물체표면세균배양양성솔변화불현저。결론근거복부Ⅱ류수술지속시간래선용불동적수술절구보호방법，가감소술후적절구감염솔。
Objective To study the application of two methods of skin incision protection in abodominal II series surgery, make sure the right use of the two incision protection methods.Methods From Jan.2011 to Oct.2011, 200 patients with abodominal II series surgery in our hospital were randomly divided into two experimental groups A and experimental groups B.Cotton skin protection cloth was used in group A, disposable operative membrane was used in group B, each group took incision surface bacterial culture after skin degerming and before suturing abdominal incision.The incision healing condition was observed.Results The positive incidence of incision surface bacterial culture in group A augmented as operation time extended, the positive incidence of incision surface bacterial culture in group B had no conspicuous change as operation time extended.Conclusions In abodominal II series surgery, using different methods of incision pro-tection as operation duration time changing can reduce the infection incidence of incision.