感染预防日监控表对腹腔镜手术患者切口感染的效果

The preventive effect of monitoring table used on infection prevention day on incision infections in patients with laparoscopic operation

目的研究感染预防日监控表对腹腔镜手术患者切口感染的预防效果,降低患者术后切口感染率。方法选择2011年1月-2014年5月在医院行腹腔镜手术的400例患者,按照随机数表法将患者随机分为研究组和对照组各200例,研究组患者采用感染预防日监控表由巡回护士按照表格内容实施动态监控,对照组患者未采用感染预防日监控表,对两组患者的切口感染率进行统计分析。结果研究组患者术后有3例发生切口感染,感染率为1.50%,对照组患者中有16例发生感染,感染率为8.00%,两组患者的术后感染率比较差异有统计学意义(P<0.05);研究组患者的并发症发生率为12.00%,明显低于对照组患者的16.50%;研究组患者的治疗满意度为90.62%,对照组患者的治疗满意度为76.62%,研究组患者的治疗满意度明显高于对照组患者,差异有统计学意义(P<0.05)。结论感染预防日监控表能够明显降低腹腔镜手术患者的术后感染率,提高患者的治疗满意度,降低患者术后并发症发生率,具有较高的临床应用价值。

OBJECTIVE To explore the preventive effect of monitoring table used on infection prevention day on in‐cision infection in patients with laparoscopic operation so as to reduce incision infection rate .METHODS Totally 400 cases of patients with laparoscopic operation were selected in our hospital from Jan .to May 2014 .All patients were randomly divided into study group （200 cases） and control group （200 cases） ,according to the random num‐ber table .The monitoring table on the infection prevention day was used by nurses for the monitoring of the study group＇s patients ,while the control group was not supervised by it .The incision infection rates of the two groups were analyzed .RESULTS A total of 3 cases occurred incision infection in the study group and the infection rate was 1 .50% .While in the control group ,the number was 16 and the infection rate was 8 .00% ,which was significatly higher than that of the study group （P〈0 .05） .The incidence of complications of the study group was 12 .00% , significantly lower than 16 .50% of the control group .The satisfaction rate was 90 .62% in the study group ,while in the control group ,it was 76 .62% ,significantly lower than the study group （P〈0 .05） .CONCLUSION Monito‐ring table used on the infection prevention day can obviously decrease the postoperative infection rate ,improve sat‐isfaction of patients and reduce complication rate in patients with laparoscopic surgery ,hence is of high clinical value .