抗感染治疗用于急诊外科创伤手术切口感染的临床效果

Clinical effect of anti infection therapy for wound infection of trauma surgery in emergency surgery department

目的研究抗感染治疗用于急诊外科创伤手术切口感染的临床效果。方法 90例创伤外科手术患者,按照随机数字表法分为常规组和抗感染组,各45例。常规组进行常规处理,抗感染组在常规组基础上给予切口抗感染治疗,两组均正常手术,且在术后根据患者切口感染情况进行抗感染护理。观察比较两组术后切口感染情况及伤口愈合情况。结果治疗后,抗感染组术后切口感染率为11.11%,明显低于常规组的28.89%,差异具有统计学意义(P<0.05)。治疗后,抗感染组甲级愈合率为60.00%,乙级愈合率为33.33%,丙级愈合率为6.67%;常规组甲级愈合率为33.33%,乙级愈合率为44.44%,丙级愈合率为22.22%;两组治疗后伤口愈合情况比较差异具有统计学意义(P<0.05)。结论急诊外科创伤手术切口在术前采用抗感染治疗后能明显降低切口感染率,改善伤口愈合情况。

Objective To study the clinical effect of anti infection therapy for wound infection of trauma surgery in emergency surgery department.Methods A total of 90 patients with trauma surgery were divided into the conventional group and anti infection group according to the random number table method,45 cases in each group.The conventional group was treated with conventional treatment.The anti infection group was treated with incision anti infection treatment on the basis of the conventional group,and the two groups were operated normally,and the anti infection nursing care was carried out according to the infection condition of patients after surgery.The postoperative wound infection and wound healing between the two groups were observed and compared.Results After treatment,the postoperative infection rate of incision in the anti infection group was 11.11%,which was significantly lower than 28.89%in the conventional group,the difference was statistically significant(P<0.05).After treatment,the healing rates of class A,class B and class C in the anti infection group were 60.00%,33.33%and 6.67%respectively,the healing rates of class A,class B and class C in the conventional group were 33.33%,44.44%and 22.22%respectively,there was significant difference in the wound healing between the two groups after treatment(P<0.05).Conclusion The application of anti infection therapy before surgery for wound infection of trauma surgery in emergency surgery department can significantly reduce wound infection rate and improve wound healing.