CAJ | 학술논문

目的探讨双套管负压持续引流对减少胃肠术后腹腔内感染的效果.方法选择2010年1月至2012年8月就诊的胃肠术后行腹腔引流患者85例作为研究对象,将患者随机分为观察组42例和对照组43例,对照组采用传统乳胶引流,观察组采用双套管负压持续引流,观察2组患者腹腔内感染例数及细菌分布情况,患者引流时间、引流量及引流管堵塞情况.结果 2组患者共有25份细菌培养阳性,2组在病菌检出例数、检出率方面比较差异有统计学意义;25份标本中共计检出病原菌39株,在葡萄球菌检出情况上比较,2组差异有统计学意义,2组患者引流液变清时间、引流液变清后再拔管所需时间、总置管时间、平均日引流量相比差异均有统计学意义.结论双套管负压引流术用于腹腔术后的持续引流,能有效减少腹腔感染,缩短引流时间,效果较好.
목적 탐토쌍투관부압지속인류대감소위장술후복강내감염적효과.방법 선택2010년1월지2012년8월취진적위장술후행복강인류환자85례작위연구대상,장환자수궤분위관찰조42례화대조조43례,대조조채용전통유효인류,관찰조채용쌍투관부압지속인류,관찰2조환자복강내감염례수급세균분포정황,환자인류시간、인류량급인류관도새정황.결과 2조환자공유25빈세균배양양성,2조재병균검출례수、검출솔방면비교차이유통계학의의;25빈표본중공계검출병원균39주,재포도구균검출정황상비교,2조차이유통계학의의,2조환자인류액변청시간、인류액변청후재발관소수시간、총치관시간、평균일인류량상비차이균유통계학의의.결론 쌍투관부압인류술용우복강술후적지속인류,능유효감소복강감염,축단인류시간,효과교호.
Objective To discuss application of double pipe for negative pressure drainage in reducing intra-abdominal infections after gastrointestinal operation.Methods 85 patients with intra-ahdominal drainage after gastrointestinal operation were randomly divided into the control group (43 patients) and the observation group(42 patients).The control group used traditional latex drainage,the observation group took the double cannula negative pressure continued drainage.The intra-abdominal infection and bacterial number distribution,patients drainage time,drainage volume and drainage tube occlusion were observed.Results 25 bacterial cultures were positive in two groups of patients.Compared between the two groups,the bacterial number detection rate were significant.31 pathogenic bacteria were detected in 25 specimens.Compared between these two groups,staphylococcus aureus,clearing time of drainage,drawing tube time after drainage liquid being clear,the total catheterization time,average daily drainage volume were all significantly different.Conchrsious Double pipe negative pressure drainage for postoperative abdominal drainage can effectively reduce abdominal infection,shorten drainage time,and its effect is very good.