术中综合保温对腹部创伤患者SSI的影响

Integrated thermal trauma surgery of the abdomen affect patient SSI

目的 探讨术中综合保温对腹部创伤患者SSI的影响,评价术中采用综合保温方案的价值.方法 系统分析201 1年6月～2013年5月本院60例腹部创伤急诊手术患者,采用随机化数字表将患者分入综合保温组和对照组,每组30例.结果 两组患者术后切口愈合情况比较,保温组甲级愈合24例,乙级愈合6例,无丙级愈合,对照组术甲级愈合16例,乙级愈合14例,无丙级愈合,切口甲级愈合率显著高于对照组,差异有统计学意义;术中及术后体温均有所下降,保温组下降数值较对照组低,差异具有统计学意义（P＜0.05）,术后24 h、48 h、72 h白细胞（WBC）、中性粒细胞（N）、PCT、CRP与术前比较,保温组差异不具有统计学意义（P＞0.05）,对照组差异具有统计学意义（P＜0.05）;两者组间比较,差异具有统计学意义（P＜0.05）.结论 本研究综合保温的方式可有效的维持正常体温,促进腹部创伤患者切口愈合良好,减少炎症反应,减少了并发症,值得临床重视及应用.

ObjectiveTo investigate the effects of surgery in patients with abdominal trauma integrated insulation for SSI and comprehensive evaluation of the value of the insulation used in surgery programs. Methods Systematically analyzed 60 cases of abdominal trauma emergency surgery patients admitted in June 2011 - May 2013. The patients were randomly divided into digital form integrated insulation group and control group, n = 30. Results Postoperative wound healing compared to insulation group 24 cases of A level healing, six cases of B level healing, no C level healing ;for control group patients, 16 cases of A level healing, 14 cases of B level healing in, no level C healing; the difference was statistically significant. Intraoperative and postoperative temperature had declined. ？ Insulation group decreased lower value than the control group ; the difference was statistically significant （ P 〈 0.05 ）. After 24 h,48 h,72 h WBC, N, PCT, CRP and before surgery compared to insulation group difference was not statistically significant（ P 〉 0. 05 ）, a statistically significant difference between the control group （ P 〈 0. 05 ） ; between the two groups can be , the difference was statistically significant （ P 〈 0. 05 ）. Conclusion In this study, a comprehensive approach effectively heat to maintain normal body temperature, and promote wound healing in patients with abdominal trauma well, reduce inflammation, reduce complications, and is worthy of attention and application.