摘要
目的探讨临床收治的结直肠癌患者应用皮下持续负压引流技术对切口感染的防范作用。方法方便选择结直肠癌患者120例,均为该院2010年5月—2016年10月收治,随机分组,就应用常规感染防控方案(对照组,n=60)与应用皮下持续负压引流技术方案(观察组,n=60)治疗甲级愈合率、术后离床行走时间、进食恢复时间、住院天数、并发症率展开对比。结果观察组所选结直肠癌患者切口甲级愈合率为96.7%;明显高于对照组83.3%,差异有统计学意义(χ~2=5.926,P<0.05)。两组术后离床行走时间、进食恢复时间经对比差异无统计学意义(t=0.000,0.403,P>0.05),观察组住院天数明显短于对照组,差异有统计学意义(t=5.692,P<0.05)。观察组无切口感染事件,仅切口脂肪液化1例,并发症率为1.7%,对照组切口感染3例,切口脂肪液化7例,并发症率为16.7%,对比差异有统计学意义(χ~2=8.107,P<0.05)。结论针对临床收治的结直肠癌患者,在关闭切口前取皮下持续负压引流技术应用,可明显提高切口甲级愈合率,缩短病程,降低切口感染、切口脂肪液化发生率,具非常重要的开展价值。
Objective This paper tries to explore the prevention of incision infection by subcutaneous continuous negative pressure drainage in patients with colorectal cancer. Methods 120 patients with colorectal cancer were convenient selected from May 2010 to October 2016 in the hospital. They were randomly divided into groups. They used conventional infection prevention and control programs（control group, n =60） and applied subcutaneous continuous negative pressure drainage technology program（observation group, n=60）. The treatment of Grade A healing rate, post-operative bedtime, food recovery time, length of hospital stay, and complication rate were compared. Results In the observation group, the healed rate of first grade incision in patients with colorectal cancer was 96.7%, which was significantly higher than that in the control group（83.3%）, with statistical significance（χ2=5.926, P〈0.05）. There was no difference between the two groups in postoperative walking time and eating recovery time（t=0.000, 0.403, P〉0.05）. The hospitalization days in the observation group were significantly shorter than those in the control group, with statistical differences（t=5.692, P〈0.05）. There was no incision infection in the observation group. There was only one fat liquefaction in the incision and the complication rate was 1.7%. The incision infection in the control group was in 3 cases and the incision fat liquefaction in 7 cases. The complication rate was16.7%, which was statistically significant（χ2=8.107, P〈0.05）. Conclusion For patients with colorectal cancer who are clinically treated, the application of subcutaneous continuous negative pressure drainage before closing the incision can significantly improve the rate of first grade healing of the incision, shorten the duration of the incision, reduce the incidence of incision infection, fat liquefaction of the incision, and has very important development value.
作者
冯波
刘占波
FENG Bo;LIU Zhan -bo(Department of Surgery,Section Two,People＇s Hospital of Yongqing County,Langfang,Hebei Province,065600 Chin)
出处
《中外医疗》
2018年第15期88-90,共3页
China & Foreign Medical Treatment
关键词
结直肠癌
皮下持续负压引流技术
切口感染
Colorectal cancer
Subcutaneous continuous negative pressure drainage technology
Incision infection
