摘要
目的分析阑尾切除术后放置腹腔引流对切口感染等方面的影响。方法选取2019年6月至2020年6月收治的60例急性阑尾炎患者,均给予阑尾切除术治疗。以是否在术后放置腹腔引流为分组依据,将其分别纳入在术后放置腹腔引流的研究组、未在术后放置腹腔引流的对照组各30例。组间对比切口感染发生率、并发症发生率、住院时间、再次手术率以及白介素(interleukin,IL)-6、C反应蛋白(C-reactive protein,CRP)、IL-8、白细胞计数水平。结果研究组的切口感染发生率为3.33%(1/30),比对照组低[20%(6/30)],差异有显著性(χ^2=4.043,P=0.044)。研究组的并发症发生率为6.67%(2/30),比对照组低[26.67%(8/30)],差异有显著性(χ^2=4.320,P=0.038)。研究组的再次手术率为0(0/30),比对照组低[13.33%(4/30)],差异有显著性(χ^2=4.286,P=0.038)。研究组的IL-6、CRP、IL-8、白细胞计数水平分别为(37.73±3.26)ng/L、(1.03±0.39)mg/L、(137.12±15.99)ng/L、(6.11±0.29)×10^9/L,对照组分别为(48.21±9.37)ng/L、(3.55±0.38)mg/L、(247.87±21.05)ng/L、(8.46±0.54)×10^9/L,研究组均比对照组低,差异有显著性(t=5.786,P<0.001;t=25.348,P<0.001;t=22.947,P<0.001;t=20.999,P<0.001)。研究组的住院时间为(9.01±4.10)d,比对照组低[(19.61±8.88)d],差异有显著性(t=5.936,P<0.001)。结论为阑尾切除术患者术后放置腹腔引流可以有效降低切口感染及其他并发症的发生率,改善其机体炎症反应,缩短住院时间,避免患者再次手术。
Objective To analyze the effect of abdominal drainage after appendectomy on incision infection.Methods Selected during June 2019 to June 2020 were 60 cases of acute appendicitis patients,treatment with an appendectomy were whether to place the abdominal cavity drainage after surgery for packet basis,it respectively placed abdominal drainage after surgery’s team has not placed the abdominal cavity drainage after surgery with a control group 30 cases each group contrast between infection of incision,incidence of complications in hospital time reoperation rate and interleukins(IL-6),c-reactive protein(CRP),IL-8 and white blood cell count level.Results The incidence of incision infection in the study group was 3.33%(1/30),which lower than the control group[20%(6/30)],the difference was significant(χ^2=4.043,P=0.044).The complication rate of the study group was 6.67%(2/30),which lower than the control group[26.67%(8/30)],the difference was significant(χ^2=4.320,P=0.038).The reoperation rate in the study group was 0(0/30),which lower than the control group[13.33%(4/30)],the difference was significant(χ^2=4.286,P=0.038).The level of IL-6,CRP,IL-8,and leukocyte count in the study group was respectively(37.73±3.26)ng/L,(1.03±0.39)mg/L,(137.12±15.99)ng/L,(6.11±0.29)×10^9/L,which in the control group was respectively(48.21±9.37)ng/L,(3.55±0.38)mg/L,(247.87±21.05)ng/L,(8.46±0.54)×10^9/L.The study group was lower than the control group,which the difference was significant(t=5.786,P<0.001;t=25.348,P<0.001;t=22.947,P<0.001;t=20.999,P<0.001).The length of stay in the study group was(9.01±4.10)d,which lower than the control group(19.61±8.88)d,the difference was significant(t=5.936,P<0.001).Conclusion Abdominal drainage after appendectomy can effectively reduce the incidence of incision infection and other complications,improve the body’s inflammatory response,shorten the length of hospital stay,and prevent patients from reoperation.
作者
岳超
岳圆
Yue Chao;Yue Yuan(Surgery Department of Pingliang Maternal and Child Health Hospital,Qinghai Red Cross Hospital,Pingliang 744000,Gansu;Liuhu Health Center of Pingliang Kongtong District,Pingliang 744000,Gansu)
出处
《临床普外科电子杂志》
2020年第4期35-38,58,共5页
Journal of General Surgery for Clinicians(Electronic Version)
