开腹手术切口持续封闭负压引流的临床效果观察被引量：2

Clinical effects of continuous closed negative pressure drainage on open surgical incision

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摘要目的探讨腹部开腹手术切口持续封闭负压引流的临床疗效。方法选择行开腹手术患者150例,随机分成两组,试验组74例,对照组76例。均行开腹手术治疗。手术结束时,试验组腹部切口缝合后行持续封闭负压引流,对照组则给予常规纱布敷料包扎。术后每天观察患者症状、体征,记录切口皮肤红肿、热痛及渗液情况,肠功能恢复和术后下床活动时间。结果术后观察7~21 d,出现切口感染20例,均为浅表感染,试验组和对照组的感染发生率比较有统计学差异(2.7%vs23.7%,P <0.05)。结论持续封闭负压引流安全、无创和有效,可以明显减少腹部开腹手术切口感染发生率。

作者王益贾玉英陈洁强仲惪 Wang Yi;Jia Yuying;Chen Jie;Qiang Zhongde

机构地区原成都军区机关第二门诊部

出处《西南国防医药》 CAS 2019年第6期674-676,共3页 Medical Journal of National Defending Forces in Southwest China

关键词封闭负压引流开腹手术切口感染发生率

分类号 R639 [医药卫生—外科学]

作者简介通信作者:强仲惪,E-mail:548185@qq.com.

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参考文献1

1樊跃平,任建安,吴秀文,顾国胜,王革非,赵坤,赵允召,黎介寿.腹部污染切口术后手术部位感染和致病菌分布的前瞻性研究[J].中华消化外科杂志,2015,14(10):835-838. 被引量：8

二级参考文献23

1任建安.手术部位感染的预防[J].临床外科杂志,2007,15(9):590-591. 被引量：33
2Mangram AJ,Horan TC,Pearson ML,et al.Guideline for pre- vention of surgical site infection,1999.Hospital Infection Control Practices Advisory Committee[J].Infect Control Hosp Epidemiol, 1999,20(4):250-280.
3Lepanluoma M,Takala R,Kotkansalo A,et al.Surgical safety checklist is associated with improved operating room safety culture, reduced wound complications,and unplanned readmissions in a pi- lot study in neurosurgery[J].Scand J Surg,2014,103(1):66-72.
4Waits SA,Fritze D,Banerjee M,et al.Developing an argument for bundled interventions to reduce surgical site infection in color- ectal surgery[J].Surgery,2014,155(4):602-606.
5Giri S,Kandel BP,Pant S,et al.Risk factors for surgical site in- fections in abdominal surgery:a study in Nepal[J].Surg Infect(Larchmt),2013,14(3):313-318.
6Shaffer VO,Baptiste CD,Liu Y,et al.Improving quality of sur- gical care and outcomes:factors impacting surgical site infection after colorectal resection[J].Am Surg,2014,80(8):759-763.
7Nguyen DB,Gupta N,Abou-Daoud A,et al.A polymicrobial outbreak of surgical site infections following cardiac surgery at a community hospital in Florida,2011-2012[J].Am J Infect Control,2014,42(4):432-435.
8Eskicioglu C,Nelson J,Roberts PL,et al.Is patient diagnosis a risk factor for organ space infection after colorectal resections?[J].Dis Colon Rectum,2014,57(6):733-739.
9Pastor C,Artinyan A,Varma MG,et al.An increase in compli- ance with the Surgical Care Improvement Project measures does not prevent surgical site infection in colorectal surgery[J].Dis Colon Rectum,2010,53(1);24-30.
10Bishawi M,Fakhoury M,Denoya PI,et al.Surgical site infection rates:open versus hand-assisted colorectal resections[J].Tech Coloproctol,2014,18(4):381-386.