急诊腹部污染性手术预防切口感染方法比较

Comparation of preventing incision infectious methods during emergency contaminative operation in abdomen

采用前瞻性研究，对1994年10月至1995年12月间急诊腹部污染性手术140例病人切口应用不同方法处理，观察愈合情况。随机分组用生理盐水、3％过氧化氢和3％过氧化氢加头孢哌酮钠三种方法处理切口，结果；切口甲级愈合率分别为49％、77％和97％；切口感染率分别为23％、6％和0。显示最后一种方法为最有效预防污染性切口感染方法。

<Atstract>In order to observe the best way for prevention incision infection of emergency contami native operation in abdomen. 140 cases from October 1994 to December 1995 were divided randomly into three groups, and were treated with Saline, 3% hydrogen peroxide and 3% hydrogen peroxide plus Cefop erazone sodiun separately. The result show that incision healing rates were 49%, 77 % and 97 %; incision infetious rats were 23%, 6% and 0%. It is concluded that the third was the most effective way to prevent ing from infection.