本文選題：氯己定醇　切入點(diǎn)：含碘手術(shù)薄膜　出處：《中華醫(yī)院感染學(xué)雜志》2017年18期

【摘要】：目的探究氯己定醇聯(lián)合含碘手術(shù)薄膜對(duì)兒童行骨科手術(shù)切口感染的影響。方法選取2015年4月-2016年5月于醫(yī)院接受骨科手術(shù)的460例患兒為研究對(duì)象,按照隨機(jī)數(shù)表法將所有患兒平均分為兩組,每組230例,其中對(duì)照組患兒使用含碘消毒液聯(lián)合含碘手術(shù)薄膜進(jìn)行骨科手術(shù),觀察組患兒使用氯己定醇聯(lián)合含碘手術(shù)薄膜進(jìn)行骨科手術(shù),比較兩組患兒術(shù)后切口感染率、手術(shù)效果、揭開手術(shù)薄膜后細(xì)菌的陽(yáng)性率;對(duì)發(fā)生感染的患兒進(jìn)行病原菌培養(yǎng)與鑒定,分析病原菌的分布。結(jié)果觀察組6例患兒發(fā)生切口感染,感染率為2.61%,觀察組患兒感染人數(shù)以及感染率均低于對(duì)照組21例(9.13%),差異有統(tǒng)計(jì)學(xué)意義(χ~2=4.330,P0.05);觀察組患者手術(shù)切口薄膜起邊率以及手術(shù)愈合時(shí)間均低于對(duì)照組患者,甲級(jí)愈合率高于對(duì)照組患者,觀察組患者揭開手術(shù)薄膜后細(xì)菌的陽(yáng)性率低于對(duì)照組患者,差異有統(tǒng)計(jì)學(xué)意義(χ~2=4.116,P0.05);感染患兒臨床送檢標(biāo)本共檢測(cè)出病原菌67株,其中革蘭陰性菌32株、革蘭陽(yáng)性菌27株、真菌6株、其他菌種2株。結(jié)論行骨科手術(shù)患兒切口感染的主要病原菌是革蘭陰性菌,采用氯己定醇聯(lián)合含碘手術(shù)薄膜能夠有效降低手術(shù)患兒術(shù)后的感染率,提高術(shù)后恢復(fù)效果,對(duì)于提高患者的生活質(zhì)量具有重要作用。
[Abstract]:Objective to investigate the effect of chlorhexidine combined with iodized film on incision infection in children undergoing orthopedic surgery.Methods A total of 460 children undergoing orthopedic surgery from April 2015 to May 2016 were randomly divided into two groups (230 cases in each group).The patients in the control group were treated with iodine disinfectant combined with iodized surgical film for orthopedic operation, and the patients in the observation group were treated with chlorhexidine and iodized film for orthopedic surgery. The infection rate of incision and the effect of operation were compared between the two groups.The positive rate of bacteria was detected and the distribution of pathogenic bacteria was analyzed by culture and identification of pathogenic bacteria in children with infection.Results incisional infection occurred in 6 children in the observation group.The infection rate was 2.61. The infection number and infection rate in the observation group were lower than that in the control group (21 cases), the difference was statistically significant (蠂 ~ 2 ~ (2) 4.330) P 0.05, the rate of the operation incision membrane and the operation healing time in the observation group were lower than those in the control group.The rate of grade A healing was higher than that of the control group, and the positive rate of bacteria in the observation group was lower than that in the control group (蠂 2 + 4.116% P 0.05), and 67 strains of pathogenic bacteria were detected in the clinical samples of the infected children, and the positive rate of bacteria in the observation group was significantly lower than that in the control group.There were 32 Gram-negative bacteria, 27 Gram-positive bacteria, 6 fungi and 2 other strains.Conclusion Gram-negative bacteria is the main pathogen of incision infection in children undergoing orthopedic surgery. The use of chlorhexidine alcohol combined with iodized film can effectively reduce the postoperative infection rate and improve the postoperative recovery in children with orthopedic surgery.It plays an important role in improving the quality of life of patients.
【作者單位】： 黔南州人民醫(yī)院手術(shù)麻醉科;黔南州人民醫(yī)院手術(shù)護(hù)理部;黔南州人民醫(yī)院腎內(nèi)科;
【分類號(hào)】：R726.1
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本文編號(hào)：1690791