摘要
目的在骨科手术中寻找一种可以替代丝线的抗菌微乔八针八线用于缝合,以降低手术部位感染(SSI)的发生率,提高患者对切口愈合的满意度,从而提升患者对医护人员的满意度。方法 300例拟行择期I类骨科手术患者随机分为两组,观察组手术缝线均采用抗菌微乔八针八线缝合肌肉筋膜、皮下和皮肤组织;对照组手术缝线采用普通丝线缝合。术中对医护合作满意度进行问卷调查,分别在术后第3天和第7天记录患者手术切口的疼痛程度及愈合情况,术后第3个月用带有毫米标尺测量瘢痕宽度。结果术后SSI发生率两组分别为0.67%和2.38%,差异无统计学意义(P>0.05),但伤口甲乙类愈合、瘢痕宽度在观察组明显优于对照组(P<0.05);患者术后第3天和第7天疼痛发生率观察组明显优于对照组(P<0.05);患者对瘢痕满意度和医护合作满意度调查结果观察组明显优于对照组(P<0.01)。结论抗菌微乔八针八线相对于传统丝线在缝合时穿透性好,医生缝合顺利,护士不需要穿针引线,术中能使医护人员更专心关注于手术进程,医护合作满意度提高,使用抗菌微乔八针八线的患者手术部位感染发生率低,切口愈合平整美观,满意度提高。
Objective In order to lower the occurring rate of incision infection(SSI),in orthopaedic surgery for a replacement for the silk thread for stitching.Improve patient satisfaction in incision healing,which is helpful to improve patients satisfaction of medical staff.Methods 300 volunteers who orthopedic selective operations Ⅰwere randomly divided into two groups,the sutures of experiment group were antibacterial micro Joe eight needle eight line that absorbable suture that were produced by Johnson & Johnson.The VCP752D with 0 was used by fascia,and the VCP751D with 2/0 was used by subcutaneous,and VCP772D with3/0 was used by skin;the sutures of control group were the ordinary silk thread,The silk thread with 7 was used by fascia,and the silk thread with 1 was used by subcutaneous skin.Surveying the medical cooperation satisfaction in the operation,The patients' pain degree and the healing of incision were recorded at the third day and seventh day,measuring the scar width with mm gauge after the third month.Results Antibacterial micro Joe eight needle-eight line don't need a nurse,and they have more time to concentrate on the surgery in surgical suture phase process and maintenance the the aseptic environment of the operation table and operation area;Beautiful incision healing could have more humanistic care to patients,the additional medical costs due to poor wound healing and the negative effect to the doctor or hospital were raduced,which could improve the patients,satisfaction.Medical cooperation satisfaction ascension,which is beneficial to reduce the medical errors and the medical costs of the medical disputes caused.Conclusion The antibacterial micro Joe eight needle-eight line was well in sewing,nurses don't need to drive on,who have more time to concentrate on the operation process,constantly improve the medical cooperation satisfaction.Patients with low incidence of hospital infection,and healing of incision smooth and beautiful,the satisfaction was increased.
出处
《中国药物经济学》
2013年第S3期55-57,共3页
China Journal of Pharmaceutical Economics
