腹部急诊手术中放置切口皮下负压引流管对切口感染的预防效果分析

Analysis of the Preventive Effect of Subcutaneous Negative Pressure Drainage Tube on Incision Infection in Abdominal Emergency Surgery

目的:探讨腹部急诊手术中放置切口皮下负压引流管对切口感染的预防效果.方法:将2008年1月至2020年12月期间在本院进行腹部急诊手术的1560例患者为研究对象.将其随机分为研究组(n=780)和对照组(n=780).研究组切口皮下放置负压引流管,对照组采用常规方法进行切口缝合.观察和比较两组术后切口愈合情况、切口感染率及各临床指标情况.结果:观察组切口愈合效果优于对照组,切口感染率(1.54%)低于对照组(3.21%)(P<0.05);观察组拆线时间及住院时间短于对照组,换药次数少于对照组(P<0.05).结论:采用放置切口皮下负压引流管可降低切口感染率,可在临床上推广应用.

Objective:To investigate the preventive effect of incision infection by placing subcutaneous negative pressure drainage tube in abdominal emergency surgery.Methods:A total of 1560 patients who underwent abdominal emergency surgery in our hospital from January 2008 to December 2020 were selected as research subjects and were randomly divided into study group(n=780)and control group(n=780).In the study group,a negative pressure drainage tube was placed subcutaneously in the incision,while in the control group,the incision was sutured by conventional methods.The incision healing,incision infection rate and the clinical indicators were observed and compared between the two groups.Results:The incision healing effect of the observation group was better than that of the control group,and the incision infection rate(1.54%)was lower than that of the control group(3.21%)(P<0.05).The suture removal time and hospital stay of the observation group were shorter than those of the control group,and the frequency of dressing change was less than that of the control group(P<0.05).Conclusion:The use of subcutaneous negative pressure drainage tube can reduce the rate of incision infection,which can be applied in clinical practice.