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目的探讨防治手术切口感染的有效方法。方法将2009年1月-2012年10月收治的198例大肠癌手术患者,随机分为A、B两组,每组99例,所有手术患者均采用相同的术前准备、预防用药及术后护理。A组为对照组,采用常规方法换药;B组作为研究组,术后第2天切口换药时用无齿镊子在两针间轻轻将切口撑开,用棉棒或纱布拭净切口里面的渗液。术后第8天拆线,并随访1个月,观察切口感染的情况、愈合时间、感染的严重程度,并作相应的统计分析。结果 A组发生感染22例(占22%),B组感染6例(占6%),且A组感染严重程度较B组突出,两组比较差异均有统计学意义(P<0.05);A、B组手术切口愈合时间分别为(8.00±1.42)、(9.00±2.51)d,差异无统计学意义(P>0.05)。结论切口撑开法换药可有效降低大肠癌术后切口感染率。
Objective To explore effective methods of preventing and treating surgical incision infection. Methods A total of 198 patients with colorectal cancer who were treated from January 2009 to October 2012 were randomly divided into A and B groups, 99 cases in each group. All the patients underwent surgery with the same preoperative preparation, prophylaxis and postoperative Nursing. A group as the control group, the use of conventional methods dressing; B group as the study group, after the second day dressing incision with toothless tweezers gently open the incision between two needles, with a cotton swab or gauze wipe net incision Exudate inside. On the 8th postoperative day, the stitches were removed and followed up for 1 month. The incision infection, the healing time and the severity of the infection were observed and analyzed statistically. Results 22 cases (22%) were infected in group A, 6 cases (6%) were infected in group B, and the severity of infection in group A was more prominent than that in group B, the difference was statistically significant (P <0.05). The healing time of operation incision in group A and group B was (8.00 ± 1.42) and (9.00 ± 2.51) d, respectively, with no significant difference (P> 0.05). Conclusion incision open method dressing can effectively reduce the incision infection rate of colorectal cancer.