CAJ | 학술논문

目的：探讨双切口套法预防开放性胃肠手术后切口感染的临床效果。方法选取2013年3月~2014年8月在本院实施开放性胃肠手术的75例患者作为研究对象，随机分为观察组(38例)和对照组(37例)。观察组在开放性胃肠手术中采用双切口套法，对照组术中不使用任何切口保护套。比较两组的手术时间、术后首次排气时间、首次排便时间、住院时间及切口感染率。结果两组的手术时间比较，差异无统计学意义(P>0.05)。观察组的术后首次排气时间、首次排便时间及住院时间显著短于对照组，差异有统计学意义(P<0.05)。观察组的切口感染率为2.63%，显著低于对照组的16.22%，差异有统计学意义(P<0.05)。结论双切口套法可以明显降低开放性胃肠手术后的切口感染率，提高临床疗效。
목적：탐토쌍절구투법예방개방성위장수술후절구감염적림상효과。방법선취2013년3월~2014년8월재본원실시개방성위장수술적75례환자작위연구대상，수궤분위관찰조(38례)화대조조(37례)。관찰조재개방성위장수술중채용쌍절구투법，대조조술중불사용임하절구보호투。비교량조적수술시간、술후수차배기시간、수차배편시간、주원시간급절구감염솔。결과량조적수술시간비교，차이무통계학의의(P>0.05)。관찰조적술후수차배기시간、수차배편시간급주원시간현저단우대조조，차이유통계학의의(P<0.05)。관찰조적절구감염솔위2.63%，현저저우대조조적16.22%，차이유통계학의의(P<0.05)。결론쌍절구투법가이명현강저개방성위장수술후적절구감염솔，제고림상료효。
Objective To explore the clinical effect of doublee-incision method to prevent incision infection after open-ing gastrointestinal operation. Methods 75 patients with opening gastrointestinal operation performed in our hospital from March 2013 to August 2014 were selected and randomly divided into the observation group (38 cases) and the control group (37 cases). The observation group was given double-incision method during the opening gastrointestinal operation,the control group was not used any incision protective container during the operation.The operation time,post-operative first exhaust time,the first defecation time,hospitalization time and incision infection rate in two groups was compared. Results There was no significant difference in the operation time between two groups (P>0.05).The postoperative first exhaust time,the first defecation time and hospitalization time in the observation group was shorter than that in the control group,with significant difference (P<0.05).The incision infection rate in the observation group was 2.63%,which was lower than 16.22% in the control group,with significant difference (P<0.05). Conclusion Doublee-incision method can significantly reduce the incision infection rate after opening gastrointestinal operation,improve the clinical efficacy.