胃癌患者术后腹腔感染的分析  

Postoperative abdominal infections in gastric cancer patients

作　　者：周香凤 程善英 

机构地区：[1]1_江西医学高等专科学校护理教研室,江西上饶334000 [2]上饶市肿瘤医院,江西上饶334000

出　　处：《中华医院感染学杂志》2013年第24期6007-6008,6011,共3页Chinese Journal of Nosocomiology

基　　金：江西省自然科学基金项目(0140057)

摘　　要：目的探讨胃癌术后腹腔感染病原菌种类以及采用双套管负压持续引流治疗的疗效,为临床治疗提供依据。方法选择2008年7月-2011年4月医院收治的胃癌术后发生腹腔感染患者97例,分为对照组47例和观察组50例,对照组采用CT导引经皮穿刺置管引流法,观察组采用双套管负压持续引流法;分别在引流即刻、引流后7d检测引流液中病原菌种类及引流前、引流后24、48h和72h患者体温和血白细胞水平,记录患者总置管时间、引流液变清时间、引流管变清后拔管时间以及平均日引流量。结果腹腔引流7d后对照组和观察组引流液中病原菌检出率分别为34.04%和16.00%,两组间病原菌检出率差异有统计学意义(P<0.05);与引流前比较,对照组和观察组患者引流24、48h和72h后体温和血白细胞均明显降低(P<0.05);观察组引流后72h血白细胞显著低于对照组(P<0.05)。结论双套管负压持续引流术对胃癌术后腹腔内感染具有较好的疗效。OBJECTIVE To explore the species of pathogens causing postoperative abdominal infections in the gastric cancer patients and observe the effect of dual vacuum tube continuous drainage so as to guide the clinical treatment. METHODS A total of 97 cases of gastric cancer patients with postoperative abdominal infections, who were treated in the hospital from Jul 2008 to Apr 2011, were enrolled in the study and divided into the control group with 47 cases and the observation group with 50 cases, then the control group was treated with the CT- guided percutaneous puncture catheter drainage, while the observation group was given the dual vacuum tube continuous drainage; the species of pathogens cultured from the drainage fluid were identified respectively at the time of drainage and at 7 days after the drainage, the body temperature and white blood cell counts were observed before the drainage, at 24 h, 48h, and 72 h after the drainage, the overall catheterization duration, time of drainage fluid turning to be clear, time of withdrawal of catheter, and average daily drainage volume were recorded. RESULTS Seven days after the abdominal drainage, the detection rate of pathogens from the drainage fluid was 34.04% in the control group, 16.00% in the observation group, the difference in the detection rate of the pathogens between the two groups was statistically significant （P〈0.05）. As compared with the body temperature and white blood cell counts before the drainage, both the control and observation group were significantly decreased at 24 h, 48 h, and 72 h after the drainage （P〈0.05） ; the white blood cells counts at 72 h after the drainage were significantly less in the observation group than in the control group （P〈0.05）. CONCLUSION The dual vacuum tube continuous drainage can achieve good clinical effect on the gastric cancer patients with postoperative abdominal infections.

关 键 词：双套管负压持续引流 胃癌 腹腔内感染 

分 类 号：R181.32[医药卫生—流行病学]