2%葡萄糖氯己定皮肤消毒液在普外科手术患者的临床应用

Clinical application of 2%chlorhexidine gluconate skin disinfection liquid to patients in department of general surgery

目的探讨2%葡萄糖氯己定皮肤消毒液在普外科手术患者的临床应用,为有效预防与降低术后切口感染率提供依据。方法将2013年10月-2014年1月使用2%葡萄糖氯己定皮肤消毒液进行术前沐浴的89例患者为试验组,采用普通香皂进行术前沐浴的69例患者为对照组,比较两组患者手术部位切口感染率,数据采用SPSS 13.0软件进行统计分析。结果沐浴后试验组患者感染率为1.12%、对照组患者为10.14%;试验组89例中49例使用2%葡萄糖氯己定皮肤消毒液沐浴1次,1例发生感染,感染率为2.04%;40例患者沐浴两次,感染率为0。结论使用2%葡萄糖氯己定皮肤消毒液进行术前沐浴可以降低手术部位切口感染率,安全无刺激性,值得临床推广应用。

OBJECTIVE To investigate the clinical application of 2 % chlorhexidine gluconate skin dislniectton liquid to the patients in the department of general surgery and to further provide a basis for effectively preventing postoperative incision infections and reducing the incidence rate. METHODS Totally 89 cases of patients who bathed before operation with 2% chlorhexidine gluconate skin disinfection liquid from Oct. 2013 to Jan. 2014 were selected as the experimental group, meanwhile, 69 cases of patients who bathed before operation with the ordinary soap were selected as the control group. Then the incision infection rates of patients after operation between the two groups were compared. The software SPSS 13.0 was used for statistical analysis of data. RESULTS The incision infection rate of patients was 1. 12% in the experimental group, significantly lower than 10. 14% in the control group （P〈0.05）. Among the 89 patients in the experimental group, 49 patients bathed with 2% chlorhexidine gluconate skin disinfection liquid for once and 1 of them had infection, the infections rate being 2. 04 %; 40 patients bathed twice, and their infection rate was 0. CONCLUSION Bathing with 2% chlorhexidine gluconate skin disinfection liquid before operation can reduce the incision infection rate, which is safe and not irritating, therefore, it is worthy of clinical application.