腹部Ⅱ类手术皮肤切口保护方法的临床应用

The clinical application of skin incision protection in abodominal II series surgery

目的探讨两种皮肤切口保护方法在腹部Ⅱ类手术中的正确应用。方法选取2011年01月至2011年10月在我院普外科实施腹部Ⅱ类手术的患者200例，随机分成实验组1和实验组2，每组100例。实验组1用棉质皮肤保护中进行切口保护，实验组2用一次性手术薄膜进行切口保护，两组均在皮肤消毒后和关闭腹腔前进行切口周围表面细菌培养采样监测，并观察术后切口愈合情况。结果实验组1切口周围物体表面细菌培养阳性率随手术时间的延长而增高，实验组2切口周围物体表面细菌培养阳性率变化不显著。结论根据腹部Ⅱ类手术持续时间来选用不同的手术切口保护方法，可减少术后的切口感染率。

Objective To study the application of two methods of skin incision protection in abodominal II series surgery, make sure the right use of the two incision protection methods. Methods From Jan. 2011 to Oct. 2011, 200 patients with abodominal II series surgery in our hospital were randomly divided into two experimental groups A and experimental groups B. Cotton skin protection cloth was used in group A, disposable operative membrane was used in group B, each group took incision surface bacterial culture after skin degerming and before suturing abdominal incision. The incision healing condition was observed. Results The positive incidence of incision surface bacterial culture in group A augmented as operation time extended, the positive incidence of incision surface bacterial culture in group B had no conspicuous change as operation time extended. Conclusions In abodominal II series surgery, using different methods of incision pro- tection as operation duration time changing can reduce the infection incidence of incision.