摘要
目的观察腹腔一次性灌洗预防穿孔性阑尾炎切除术后切口感染的疗效,探索降低切口感染率的有效方法。方法将183例穿孔性阑尾炎随机分为灌洗组与对照组,灌洗组采用腹腔一次性灌洗,对照组采用传统腹腔引流,比较两组术后切口愈合等级、切口感染等情况。结果灌洗组术后切口甲级愈合率86.59%,感染率4.88%;对照组切口甲级愈合率61.39%,感染率15.84%,两组差异有统计学意义(p<0.01)。结论腹腔一次性灌洗简便易行,明显优于腹腔引流,是预防、降低穿孔性阑尾炎切口感染和避免其它并发症非常有效的措施,值得临床推广应用。
Objective To observe the curative effect of peritoneal disposable lavage in preventing incision infection after appendectomy for perforating appendicitis and to explore an effective way to reduce incision infection rate.Method 183 cases of patients with perforating appendicitis were divided into PDL group and control group randomly.Patients in the PDL group received peritoneal disposable lavage while those in the control group received traditional peritoneal drainage.Incision healing grade,incision infection and the like after appendectomy in the two groups were compared.Results In the PDL group,the first grade incision healing rate after appendectomy was 86.59% and the infection rate was 4.88%;the first grade incision healing rate in the control group was 61.39% and the infection rate was 15.84%.Differences between the two groups were statistically significant（p0.01）.Conclusion Peritoneal disposable lavage,which is simple to operate and has significantly better curative effects than peritoneal drainage,is a very effective way to prevent and reduce incision infection in perforating appendicitis and to avoid other complications,thus the peritoneal disposable lavage is worth promoting.
出处
《保健医学研究与实践》
2012年第4期35-36,39,共3页
Health Medicine Research and Practice
关键词
穿孔性阑尾炎
切口感染
腹腔一次性灌洗
疗效观察
Perforating appendicitis
Incision infection
Peritoneal disposable lavage
Curative effect observation
