自制负压引流器在预防剖宫产术后切口感染中的应用体会(1)
【摘要】 目的 探讨自制负压引流器在剖宫产术后预防切口感染中的疗效。方法 120例行剖宫产手术患者， 随机分为观察组和对照组， 每组60例。术后切口放置自制负压引流器患者作为观察组， 术后行常规缝合患者作为对照组， 术后两组患者均常规合理使用抗生素治疗。比较两组患者术后切口感染情况及切口愈合时间。结果 两组年龄、孕周、手术时间及术中出血量比较差异无统计学意义(P>0.05)。观察组剖宫产术后出现切口红肿6例， 发生率为10.0%， 切口感染2例， 发生率为3.3%， 切口愈合时间(7.12±2.56)d。对照组剖宫产术后切口红肿15例， 发生率25.0%， 切口感染8例， 发生率13.33%， 切口愈合时间(11.76±3.67)d。两组切口红肿、切口感染、切口愈合时间比较差异均有统计学意义(P<0.05)。结论 自制负压引流器对剖宫产术后患者可以有效的降低术后切口感染率， 并缩短切口愈合时间， 可在临床推广。
【关键词】 自制负压引流器；剖宫产；切口感染
DOI：10.14163/j.cnki.11-5547/r.2017.07.098
Application experience of self-made vacuum drainage apparatus in prevention of postoperative incision infection in cesarean section SUN Xiu-jie. Department of Obstetrics， Inner Mongolia Ulanqab City Central Hospital， Ulanqab 012000， China
【Abstract】 Objective To investigate curative effect by self-made vacuum drainage apparatus in prevention of postoperative incision infection in cesarean section. Methods A total of 120 patients in cesarean section were randomly divided into observation group and control group， with 60 cases in each group. The observation group received postoperative self-made vacuum drainage apparatus placement in incision， and the control group received conventional postoperative suture. Both groups received general antibiotic therapy after operation. Comparison was made on postoperative incision infection status and incision healing time between the two groups. Results There was no statistically significant difference of age， gestational weeks， operation time and intraoperative bleeding volume between the two groups (P>0.05). In the observation group， there were 6 cases with incision inflammation after cesarean section， with incidence as 10.0%， and 2 cases with incision infection with incidence as 3.3%， and it had incision healing time as (7.12±2.56) d. In the control group， there were 15 cases with incision inflammation after cesarean section， with incidence as 25.0%， and 8 cases with incision infection with incidence as 13.3%， and it had incision healing time as (11.76±3.67) d. The difference of incision inflammation， incision infection， and incision healing time had statistical significance between the two groups (P<0.05). Conclusion Self-made vacuum drainage apparatus can effectively lower postoperative incision infection rate and shorten incision healing time， and it is worth clinical promoting.
【Key words】 Self-made vacuum drainage apparatus； Cesarean section； Incision infection
剖宮产术是一种处理难产， 抢救孕妇及新生儿生命的重要手段， 剖宫产率呈逐年上升的趋势， 据报导在我国一些地区剖宫产率甚至达到70%以上[1]。同时产妇的相对风险随着剖宫产率的升高而逐渐增加[2]。而剖宫产术后切口感染是常见的并发症之一[3]， 随着剖宫产率的上升， 剖宫产术后切口感染率也随之增高。因此， 采取积极有效的预防措施， 对减少剖宫产术后切口感染的发生有积极的意义。本科对剖宫产术后患者使用自制负压引流器预防切口感染， 取得了良好的效果， 现报告如下。, 百拇医药(孙秀杰)
【关键词】 自制负压引流器；剖宫产；切口感染
DOI：10.14163/j.cnki.11-5547/r.2017.07.098
Application experience of self-made vacuum drainage apparatus in prevention of postoperative incision infection in cesarean section SUN Xiu-jie. Department of Obstetrics， Inner Mongolia Ulanqab City Central Hospital， Ulanqab 012000， China
【Abstract】 Objective To investigate curative effect by self-made vacuum drainage apparatus in prevention of postoperative incision infection in cesarean section. Methods A total of 120 patients in cesarean section were randomly divided into observation group and control group， with 60 cases in each group. The observation group received postoperative self-made vacuum drainage apparatus placement in incision， and the control group received conventional postoperative suture. Both groups received general antibiotic therapy after operation. Comparison was made on postoperative incision infection status and incision healing time between the two groups. Results There was no statistically significant difference of age， gestational weeks， operation time and intraoperative bleeding volume between the two groups (P>0.05). In the observation group， there were 6 cases with incision inflammation after cesarean section， with incidence as 10.0%， and 2 cases with incision infection with incidence as 3.3%， and it had incision healing time as (7.12±2.56) d. In the control group， there were 15 cases with incision inflammation after cesarean section， with incidence as 25.0%， and 8 cases with incision infection with incidence as 13.3%， and it had incision healing time as (11.76±3.67) d. The difference of incision inflammation， incision infection， and incision healing time had statistical significance between the two groups (P<0.05). Conclusion Self-made vacuum drainage apparatus can effectively lower postoperative incision infection rate and shorten incision healing time， and it is worth clinical promoting.
【Key words】 Self-made vacuum drainage apparatus； Cesarean section； Incision infection
剖宮产术是一种处理难产， 抢救孕妇及新生儿生命的重要手段， 剖宫产率呈逐年上升的趋势， 据报导在我国一些地区剖宫产率甚至达到70%以上[1]。同时产妇的相对风险随着剖宫产率的升高而逐渐增加[2]。而剖宫产术后切口感染是常见的并发症之一[3]， 随着剖宫产率的上升， 剖宫产术后切口感染率也随之增高。因此， 采取积极有效的预防措施， 对减少剖宫产术后切口感染的发生有积极的意义。本科对剖宫产术后患者使用自制负压引流器预防切口感染， 取得了良好的效果， 现报告如下。, 百拇医药(孙秀杰)