高渗盐水治疗阑尾炎术后切口感染效果与可行性研究

Study on the effect and feasibility of hypertonic saline in the treatment of wound infection after appendectomy

目的:研究分析高渗盐水对阑尾炎术后切口感染的临床疗效及安全性。方法:2009年2月-2014年2月收治阑尾炎手术患者100例,随机分为两组。对照组50例患者给予生理盐水进行术后切口换药,试验组50例患者给予高渗盐水进行术后切口换药,对比两组患者换药后的恢复时间、发生感染人数情况等临床指标以及治疗总有效率。结果:试验组的临床指标明显优于对照组,差异具有统计学意义(P<0.05);试验组的治疗总有效率96.00%,对照组的治疗总有效率74.00%,试验组的总有效率明显高于对照组,差异具有统计学意义(P<0.05)。结论:将高渗盐水应用于阑尾炎手术患者的切口换药中,能够缩短术后恢复时间,降低感染发生率,并且能有效提高临床疗效,减少患者的身心损伤,值得临床上广泛应用。

Objective:To study the effect and feasibility of hypertonic saline in the treatment of wound infection after appendectomy.Methods:100 patients with appendicitis surgery were selected from February 2009 to February 2014.They were randomly divided into two groups.50 patients in the control group were given physiological saline for postoperative incisional dressing change,while 50 cases in the experimental group were given hypertonic saline for postoperative wound dressing,then we compared the total efficiency of treatment and the clinical indicators such as the recovery time after dressing change and the number of infected patients between two groups.Results:The clinical index of the experimental group was significantly better than that of the control group,and the differences were statistically significant(P<0.05).The total efficiency of the experimental group was 96%,while the control group was 74%.The comparison showed that the total efficiency of the experimental group was better than that of the control group,and the difference has statistically significant(P<0.05).Conclusion:The hypertonic saline used in incisional dressing change in patients with appendicitis operation can shorten the prognosis of recovery time,reduce the incidence of infection,effectively improve the clinical efficacy,and reduce the physical injury of patients,so it is worthy of widely application in clinical.