预防胃肠道手术切口感染的手术室护理  

Nursing measures in operating room in prevention of gastrointestinal surgery incision infection

作　　者：周军[1] 曹国贞 王红[1] 郑亚珍[1] 

机构地区：[1]河北省第七人民医院,河北定州073000

出　　处：《实用临床医药杂志》2017年第22期47-49,共3页Journal of Clinical Medicine in Practice

基　　金：河北省保定市科技局基金项目(14ZF053)

摘　　要：目的探讨预防胃肠道手术切口感染的手术室护理措施。方法选择胃肠道手术患者110例,采用随机数字表分为对照组与研究组,各55例。对照组采用常规手术室护理措施,研究组在对照组基础上针对胃肠道手术切口感染实施预见性手术室护理措施,对比2组手术切口愈合情况、术中与术后情况、住院费用与住院时间。结果研究组甲级愈合率80.00%,高于对照组的58.18%(P<0.05);研究组丙级愈合率为1.82%,低于对照组的14.55%(P<0.05);2组乙级愈合率对比,差异无统计学意义(P>0.05)。研究组手术时间、首次排便时间、首次排气时间均短于对照组(P<0.05)。研究组住院费用与住院时间均少于对照组(P<0.05)。结论预见性手术室护理措施可有效预防胃肠道手术切口感染,保证手术切口愈合效果,缩短手术时间,加快术后康复速度,节省医疗费用,适于在临床应用。ObjectiveTo analyze nursing measures in operating room in prevention of gastrointestinal surgery incision infection. MethodsA total of 110 patients with gastrointestinal surgery were divided into control group and study group, with 55 cases in each group. The control group was given routine operating room nursing measures, while the study group was given predictive operating room nursing measures for gastrointestinal surgery incision infection. intraoperative and postoperative incision healing condition, hospitalization expenses and hospitalization time of two groups were compared. ResultsClass A healing rate in the study group was 80.00%, which was higher than 58.18% in the control group （P〈0.05）; Class C healing rate was 1.82%, which was lower than 14.55% in the control group （P〈0.05）; There was no statistically significant difference compared with two groups in class B healing rate （P〉0.05）. Team operation time, time to first defecation, time to first exhaust were lower than that in the control group （P〈0.05）. The team hospitalization expenses and hospitalization time were lower than that in the control group （P〈0.05）. ConclusionPredictive operating can effectively prevent the gastrointestinal surgery incision infection, guarantee the incision healing effect, shorten the operation time, speed up the postoperative rehabilitation, and save medical expense, so it is suitable for clinical application and promotion.

关 键 词：胃肠道手术 切口感染 手术室护理 

分 类 号：R470.3[医药卫生—护理学]