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目的观察中药包加压外敷预防肥胖患者腹部Ⅱ类切口术后感染的应用价值。方法选取2014年6月-2016年6月在医院行腹部手术,且切口种类系Ⅱ类切口,并符合肥胖标准的患者70例随机分为2组,中药包加压外敷联合外科换药治疗35例,作为观察组,术后单纯外科换药治疗35例,作为对照组,观察术后切口感染率及切口愈合时间,对疗效进行评价。结果观察组术后切口感染率为5.7%,对照组切口感染率为22.9%,2组感染率的比较存在统计学差异(P<0.05)。切口愈合时间观察组为(8±1.4)d,对照组切口平均愈合时间为(12±1.2)d,2组之间存在统计学差异(P<0.05)。结论合理组合的中药包加压外敷能够减少肥胖腹部Ⅱ类切口患者术口切口感染率,且缩短了切口愈合时间。
Objective To observe the clinical value of pressure-assisted topical application of traditional Chinese medicine in the prevention of abdominal type Ⅱ incision infection in obese patients. Methods Seventy patients, who underwent abdominal surgery in our hospital from June 2014 to June 2016, who underwent incision type II incision and were obese, were randomly divided into two groups. The Chinese herbal medicine combined with external pressure dressing and surgical dressing 35 Cases, as the observation group, 35 cases of simple surgical dressing after surgery, as a control group, observe the incision infection rate and incision healing time, evaluate the efficacy. Results In the observation group, the incision infection rate was 5.7% and the incision infection rate in the control group was 22.9%. The infection rates in the two groups were statistically different (P <0.05). The healing time of the incision was (8 ± 1.4) days in the observation group and 12 ± 1.2 days in the control group. There was a significant difference between the two groups (P <0.05). Conclusion A reasonable combination of traditional Chinese medicine package pressure dressing can reduce the incision infection rate in obese patients with type Ⅱ incision, and shorten the incision healing time.