抗菌药物对胸部创伤患者胸腔闭式引流术后感染的预防效果

Prevention effect of anti-bacterial agents on infection of thoracic trauma patients with closed thoracic drainage

目的探讨抗菌药物对胸部创伤患者胸腔闭式引流术后感染的预防效果。方法选取荣县人民医院外科2016年1月—2018年1月收治的胸部创伤患者85例,按照入院先后顺序分为对照组43例和观察组42例。对照组患者采用胸腔闭式引流术,观察组患者在对照组基础上给予头孢硫脒。比较两组患者拔管时间、引流量,视觉模拟量表(VAS)评分、肺部或胸腔感染率及住院时间。结果两组患者拔管时间、引流量、VAS评分、肺部或胸腔感染率及住院时间比较,差异无统计学意义(P>0.05)。结论抗菌药物在胸部创伤患者胸腔闭式引流术中无明显效果,未起到预防感染的作用。

Objective To investigate the prevention effect of anti-bacterial agents on infection of thoracic trauma patients with closed thoracic drainage.Methods A total of 85 cases of patients with thoracic trauma were selected from January2016 to January 2018 in Rongxian People’s Hospital,which were divided into control group(n=43)and research group(n=42)according to the order of admission.Control group was treated with closed thoracic drainage,while observation group was treated with cefathiamidine based on control group.The extubation time,drainage volume,VAS score,pulmonary and thoracic infection rate and hospitalization days were compared between the two groups.Results There was no significant differences in extubation time,drainage volume,VAS score,pulmonary,thoracic infection rate or hospitalization days between the two groups(P>0.05).Conclusion Anti-bacterial agents has little effect in thoracic trauma patients with closed thoracic drainage,and without infection prevention.