摘要
目的探讨抗菌薇乔缝线在胃肠急诊外科手术切口感染预防中的作用,为减少胃肠急诊手术治疗切口感染提供参考。方法选取2010年1月-2014年1月收治的160例胃肠急诊手术患者作为观察对象,根据住院号随机分为观察组和对照组,每组各80例,观察组采用抗菌薇乔缝线缝合,对照组采用传统丝线缝合,比较影响两组患者切口愈合的危险因素及切口感染率。结果术后3-20d,观察组切口感染2例,感染率2.50%,对照组切口感染9例,感染率11.25%,观察组切口感染率明显低于对照组,差异有统计学意义（P〈0.05）;Ⅲ类切口的感染率观察组为1.25%、对照组为8.75%,差异有统计学意义（P〈0.05）,Ⅱ类切口感染率两组比较,差异无统计学意义;患者手术时间〉120 min的感染率观察组为1.25%、对照组则为10.00%,差异有统计学意义（P〈0.05）,〈120min时,两组患者切口感染率差异无统计学意义。结论抗菌薇乔缝线与普通缝线相比,可降低手术时间≥120min和Ⅲ类切口胃肠急诊手术患者的切口感染率。
OBJECTIVE To investigate the role of antibacterial Vicryl sutures for prevention of incision infections in gastrointestinal emergency surgery in order to provide reference for reducing incision infections in gastrointestinal emergency surgery.METHODS Totally 160 cases of gastrointestinal emergency surgical patients during Jan.2010-Jan.2014 were enrolled as the subjects and were randomly divided into the observation group and the control group according to hospitalization number with 80 cases in each group.The observation group received suturing with antibacterial Vicryl sutures,while the control group received suturing with traditional silk sutures.The risk factors affecting wound healing and wound infection cases in the two groups were compared.RESULTS At 3to 20 days after surgery,there were two cases of wound infections in the observation group with the infection rate of2.50% and nine cases of infections in the control group with the infection rate of 11.25%,the incidence of wound infection in the observation group was significantly lower than in the control group（P〈0.05）.ClassⅢ incision infection rate was 1.25%in the observation group and 8.75%in the control group,the difference was significant（P〈0.05）,while the difference in class Ⅱ incision infection rate was no significant（P〉0.05）.The infection rate in patients with surgery time 〉120 min was 1.25% in the observation group and 10.00% in the control group,the difference was significant（P〈0.05）,while there was no significant difference in the incision infection rate in patients with surgery time less than 120 min between the two groups.CONCLUSIONCompared with ordinar y sutures,antibacterial Vicryl sutures can reduce the incision infection rate in patients with surgery time ≥ 120 min and patients undergoing emergency abdominal surgery with classⅢ incision.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第4期904-906,共3页
Chinese Journal of Nosocomiology
基金
河南省科技攻关基金资助项目(102102310182)
关键词
抗菌薇乔缝线
切口感染
危险因素
胃肠急诊手术
Antibacterial Vicryl sutures
Wound infection
Risk factors
Gastrointestinal emergency surgery
