根因分析法护理对阑尾炎患者使用抗菌药物预防术后感染的干预效果  

Intervention Effect of Root Cause Analysis Nursing on the Use of Antibiotics to Prevent Postoperative Infection in Patients with Appendicitis

作　　者：罗小英 林清丽 谢梅珍 刘西将 LUO Xiaoying;LIN Qingli;XIE Meizhen;LIU Xijiang(Department of General medicine,Yongchun County Hospital,Quanzhou 362621,Fujian,China;Department of Comprehensive surgery,Yongchun County Hospital,Quanzhou 362621,Fujian,China;Department of Anesthesiology,Yongchun County Hospital,Quanzhou 362621,Fujian,China)

机构地区：[1]永春县医院全科医学科,福建泉州362621 [2]永春县医院综合外科,福建泉州362621 [3]永春县医院麻醉科,福建泉州362621

出　　处：《中国药物滥用防治杂志》2024年第12期2384-2385,共2页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：2020年福建省永春县医疗卫生领域科技计划项目(重点项目)(编号:2024YK08)。

摘　　要：目的:探讨阑尾炎患者手术患者术后常规预防感染治疗期间应用根因分析法护理干预的效果。方法:选取我院在2019年1月—2024年6月收治的50例阑尾炎术后患者为研究对象,均顺利完成腹腔镜阑尾切除术,并于术后予以抗感染治疗。依据入组时间先后进行分组,对照组给予常规护理,观察组接受根因分析法护理干预。比较两组炎性因子水平变化及术后感染发生率。结果:干预后,观察组白细胞介素-6(IL-6)、C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平以及感染总发生率均低于对照组(P<0.05)。结论:对于阑尾炎患者,术后使用抗菌药物治疗期间,采取根本原因分析的护理方法是可行的,能够有效地抑制体内炎性因子水平,从而降低术后感染的风险。Objective:To explore the effect of root cause analysis nursing intervention during routine prevention of infection in patients with appendicitis after operation.Methods:From January 2019 to June 2024,50 patients with appendicitis treated in our hospital were selected as the research objects.All of them successfully completed laparoscopic appendectomy and received anti-infective treatment after operation.According to the grouping time,the control group was given routine nursing,and the observation group received root cause analysis nursing intervention.The changes of inflammatory factor levels and the incidence of postoperative infection were compared between the two groups.Results:After intervention,the levels of interleukin-6(IL-6),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and the total incidence of infection in observation group were lower than those in control group(P<0.05).Conclusion:For patients with appendicitis,it is feasible to adopt the nursing method of root cause analysis during postoperative antibiotic treatment,which can effectively inhibit the level of inflammatory factors in the body,thus reducing the risk of postoperative infection.

关 键 词：阑尾炎 根因分析法 头孢呋辛钠 甲硝唑 抗菌药物 

分 类 号：R47[医药卫生—护理学]