创伤与急诊电子杂志
創傷與急診電子雜誌
창상여급진전자잡지
Journal of Trauma and Emergency (Electronic Version)
2015年
4期
39-42
,共4页
皮下负压引流%急诊手术%切口感染
皮下負壓引流%急診手術%切口感染
피하부압인류%급진수술%절구감염
Subcutaneous negative pressure drainage%Emergency abdominal surgery%Incision infection
目的：探讨在腹部急诊手术中，放置切口皮下负压引流管对切口感染的预防作用。方法回顾分析本科145例腹部急诊手术患者的切口愈合情况，其中67例切口皮下放置负压引流管的患者作为实验组，78例无负压引流管的患者作为对照组，比较2组切口感染率、甲级愈合率、住院时间的差异。结果实验组67例患者中切口感染1例（1.49%），对照组78例患者中切口感染7例（8.97%），感染率差异有统计学意义（P<0.05）；实验组66例切口愈合者中甲级愈合63例（95.45%），对照组71例切口愈合者中甲级愈合58例（81.69%），甲级愈合率差异有统计学意义（P<0.05）；实验组平均住院时间（14.82±8.73）天，对照组（19.13±13.11）天，住院天数差异有统计学意义（P<0.05）。结论皮下负压引流管可以有效减少腹部急诊手术术后切口感染，促进切口甲级愈合，缩短住院时间。
目的：探討在腹部急診手術中，放置切口皮下負壓引流管對切口感染的預防作用。方法迴顧分析本科145例腹部急診手術患者的切口愈閤情況，其中67例切口皮下放置負壓引流管的患者作為實驗組，78例無負壓引流管的患者作為對照組，比較2組切口感染率、甲級愈閤率、住院時間的差異。結果實驗組67例患者中切口感染1例（1.49%），對照組78例患者中切口感染7例（8.97%），感染率差異有統計學意義（P<0.05）；實驗組66例切口愈閤者中甲級愈閤63例（95.45%），對照組71例切口愈閤者中甲級愈閤58例（81.69%），甲級愈閤率差異有統計學意義（P<0.05）；實驗組平均住院時間（14.82±8.73）天，對照組（19.13±13.11）天，住院天數差異有統計學意義（P<0.05）。結論皮下負壓引流管可以有效減少腹部急診手術術後切口感染，促進切口甲級愈閤，縮短住院時間。
목적：탐토재복부급진수술중，방치절구피하부압인류관대절구감염적예방작용。방법회고분석본과145례복부급진수술환자적절구유합정황，기중67례절구피하방치부압인류관적환자작위실험조，78례무부압인류관적환자작위대조조，비교2조절구감염솔、갑급유합솔、주원시간적차이。결과실험조67례환자중절구감염1례（1.49%），대조조78례환자중절구감염7례（8.97%），감염솔차이유통계학의의（P<0.05）；실험조66례절구유합자중갑급유합63례（95.45%），대조조71례절구유합자중갑급유합58례（81.69%），갑급유합솔차이유통계학의의（P<0.05）；실험조평균주원시간（14.82±8.73）천，대조조（19.13±13.11）천，주원천수차이유통계학의의（P<0.05）。결론피하부압인류관가이유효감소복부급진수술술후절구감염，촉진절구갑급유합，축단주원시간。
Objective To investigate the effect of placing negative pressure drainage tube for the prevention of incision infection in emergency abdominal surgery.Method A retrospective analysis for incision healing of 145 emergency abdominal surgery patients was undertaken, including 67 patients with subcutaneous negative pressure drainage tube as the experimental group and 78 patients without the tube as the control group. The incidence rates of incision infection, grade-A healing and the length of hospital stay were analyzed.Result There was one case incision infection in the experimental group (incidence rate 1.49%) compared with seven cases in the control group (incidence rate 8.97%), showing statistically significant difference (P<0.05).The number of grade-A healing included in the incision healing patients in the experimental group was 63(incidence rate 95.45%), compared with 58(incidence rate 81.69%) in the control group, also showing statistically significant difference (P<0.05).The average length of hospital stay was (14.82±8.73)days for the experimental group, compared with(19.13±13.11)days for the control group, still showing statistically significant difference (P<0.05).Conclusion Placing subcutaneous suction drainage tube can effectively decrease the postoperative incision infection rate, promote incision healing and reduce the length of hospital stay for emergency abdominal surgery patients.
