早期负压闭式引流预防切口感染

Early Negative Pressure Closed Drainage for Wound Infection Prevention

目的:探讨不同引流方式与污染手术切口感染率的相关性,分析影响切口愈合的因素。方法收集2005~2013年腹部污染手术切口病例248例。根据引流方式随机分为四组,细引流管闭式引流组(A)69例,负压闭式引流组(B)57例,皮片,半管开放引流组(C)49例,不放置引流组(D)73例。统计比较不同组的感染率。观察早期引流方式对切口感染率的影响。结果 B组手术切口感染率最低,负压闭式引流在预防切口感染方面是明显有效的(P<0.05)。结论腹部污染手术切口早期留置负压闭式引流是必要的。

Objective:To assess the relationship between the incidence of contaminating Incision infection and the method of drainage.Study the risk factors for incisions infection.Methods:The col ection of 248 cases contaminating abdominal incision is from 2005 to 2013.According to the method of drainage,they were classified into group A with closed drainage with thin tube(69 cases)and group B with negative pressure drainage(57 cases)and group C with open drainage(49 cases),and group D with No drainage(73 cases).The incidences of Incision infection were compared,This study evaluates the relationship between the incidence of Incision infection and the method of drainage.Results:The lowest incidence of Incision infection with group B were examined.Negative pressure drainage is ef ective in the prevention of Incision infection(p<0.05).Conclusions:Early negative pressure drainage is necessary to contaminating abdominal incision.