化脓性阑尾炎患者术后切口感染的预防研究

Study on the Prevention of Infection of Incision after the Operation of Patients with Purulent Appendicitis

目的:探讨不同的处理方法预防化脓性阑尾炎患者术后切口感染的临床效果。方法:80例患者随机分为观察组(40例)和对照组(40例),观察组采用0.5%络合碘和3%过氧化氢处理切口,对照组采用生理盐水冲洗切口,比较二者的切口感染率。结果:观察组发生感染1例,感染率为2.50%;对照组发生感染5例,感染率为12.50%,观察组切口发生感染率低于对照组,二者比较差异有统计学意义(P<0.05)。结论:应用0.5%络合碘和3%过氧化氢处理化脓性阑尾炎切口,可以有效降低感染率,是非常有效的方法,值得临床推广。

Objective： To explore the clinical effects of different treatment methods on prevention infection of incision after the operation of patients with purulent appendicitis.Method：80 cases patients were divided into the intervention group（40 cases） and control group（40 cases）.The control group was applied for the NS,the intervention group took the 0.5% povidone iodine and 3% hydrogen peroxide,and then compared the infection rate of them.Result：One case（2.50%） in intervention group got infection,5 cases（12.5%） got infection in control group;There was significant different in infection rate between two groups statistically（P〈0.05）.Conclusion：Application of 0.5% povidone iodine and 3% hydrogen peroxide in treatment of incision with purulent appendicitis can effectively reduce the infection rate,it is the very effective method,and hence is worthy of being recommended in clinical practice.