中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
6期
681-683
,共3页
中医疗法%阑尾炎%护理%儿童%切口感染
中醫療法%闌尾炎%護理%兒童%切口感染
중의요법%란미염%호리%인동%절구감염
Traditional Chinese medicine%Appendicitis%Nursing%Children%Infection of incision
目的：探讨中西医结合治疗儿童急性阑尾炎术后切口感染的疗效及护理。方法将122例儿童急性阑尾炎患者随机分为观察组和对照组各61例。所有患儿均采用开腹阑尾炎切除术，对照组术后给予常规抗感染治疗，观察组在对照组的基础上同时给予黄芪注射液及术后个体化的系统护理干预。比较两组患者切口感染发生情况及切口愈合情况。结果观察组的切口感染率和脓肿发生率分别为6．6％（4/61）和3．3％（2/61），显著低于对照组的19．7％（12/61）和13．1％（8/61），差异有统计学意义（χ2值分别为4．60，3．92；P＜0．05）。观察组与对照组术后切口发热及粘连状况比较，差异无统计学意义（χ2值分别为0．17，0．70；P＞0．05）。观察组患儿切口愈合情况显著优于对照组，差异有统计学意义（ Z＝2．51，P＜0．05）。结论中西医结合治疗加上术后精心的护理干预可有效控制儿童急性阑尾炎术后的切口感染，改善切口的愈合情况。
目的：探討中西醫結閤治療兒童急性闌尾炎術後切口感染的療效及護理。方法將122例兒童急性闌尾炎患者隨機分為觀察組和對照組各61例。所有患兒均採用開腹闌尾炎切除術，對照組術後給予常規抗感染治療，觀察組在對照組的基礎上同時給予黃芪註射液及術後箇體化的繫統護理榦預。比較兩組患者切口感染髮生情況及切口愈閤情況。結果觀察組的切口感染率和膿腫髮生率分彆為6．6％（4/61）和3．3％（2/61），顯著低于對照組的19．7％（12/61）和13．1％（8/61），差異有統計學意義（χ2值分彆為4．60，3．92；P＜0．05）。觀察組與對照組術後切口髮熱及粘連狀況比較，差異無統計學意義（χ2值分彆為0．17，0．70；P＞0．05）。觀察組患兒切口愈閤情況顯著優于對照組，差異有統計學意義（ Z＝2．51，P＜0．05）。結論中西醫結閤治療加上術後精心的護理榦預可有效控製兒童急性闌尾炎術後的切口感染，改善切口的愈閤情況。
목적：탐토중서의결합치료인동급성란미염술후절구감염적료효급호리。방법장122례인동급성란미염환자수궤분위관찰조화대조조각61례。소유환인균채용개복란미염절제술，대조조술후급여상규항감염치료，관찰조재대조조적기출상동시급여황기주사액급술후개체화적계통호리간예。비교량조환자절구감염발생정황급절구유합정황。결과관찰조적절구감염솔화농종발생솔분별위6．6％（4/61）화3．3％（2/61），현저저우대조조적19．7％（12/61）화13．1％（8/61），차이유통계학의의（χ2치분별위4．60，3．92；P＜0．05）。관찰조여대조조술후절구발열급점련상황비교，차이무통계학의의（χ2치분별위0．17，0．70；P＞0．05）。관찰조환인절구유합정황현저우우대조조，차이유통계학의의（ Z＝2．51，P＜0．05）。결론중서의결합치료가상술후정심적호리간예가유효공제인동급성란미염술후적절구감염，개선절구적유합정황。
Objective To explore clinical effect and nursing experience of integrated traditional Chinese and western medicine in the treatment of postoperative infection of incision after the excision of acute appendicitis in children .Methods Totals of 122 cases of acute appendicitis in children were randomly divided into treatment group and control group .All the patients were given operation appendectomy and conventional anti-infection treatment after surgery .Treatment group ( n =61 ) was treated with astragalus injection plus individualized systematic nursing intervention .The infection of incision and healing of incision were observed and compared.Results The incidence of incision infection and abscess in treatment group were 6.6%(4/61) and 3.3%(2/61), which were significantly lower than those in control group 19.7%(12/61) and 13.1%(8/61), with significant differences (χ2 =4.60,3.92,respectively;P<0.05).No significant difference was found in the postoperative incision fever and adhesion between treatment group and control group (χ2 =0.17, 0.70,respectively;P>0.05).The healing of incision of treatment group was better than that of control group (Z =2.51,P<0.05).Conclusions Integrated traditional Chinese and western medicine combined with intensive care can effectively control postoperative infection of incision after the excision of acute appendicitis in children, and improve the healing of incision .
