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目的探讨抗菌薇乔缝线在胃肠急诊外科手术切口感染预防中的作用,为减少胃肠急诊手术治疗切口感染提供参考。方法选取2010年1月-2014年1月收治的160例胃肠急诊手术患者作为观察对象,根据住院号随机分为观察组和对照组,每组各80例,观察组采用抗菌薇乔缝线缝合,对照组采用传统丝线缝合,比较影响两组患者切口愈合的危险因素及切口感染率。结果术后3~20d,观察组切口感染2例,感染率2.50%,对照组切口感染9例,感染率11.25%,观察组切口感染率明显低于对照组,差异有统计学意义(P<0.05);Ⅲ类切口的感染率观察组为1.25%、对照组为8.75%,差异有统计学意义(P<0.05),Ⅱ类切口感染率两组比较,差异无统计学意义;患者手术时间>120 min的感染率观察组为1.25%、对照组则为10.00%,差异有统计学意义(P<0.05),<120min时,两组患者切口感染率差异无统计学意义。结论抗菌薇乔缝线与普通缝线相比,可降低手术时间≥120min和Ⅲ类切口胃肠急诊手术患者的切口感染率。
Objective To investigate the role of antibacterial Vicat suture in prevention of incisional infection in gastrointestinal emergency surgery and to provide reference for reducing incisional infection in gastrointestinal emergency surgery. Methods A total of 160 gastrointestinal emergency patients admitted from January 2010 to January 2014 were selected as observation subjects and randomly divided into observation group and control group according to hospitalization number, 80 cases in each group. The observation group was treated with antimicrobial Vicat suture Suture, the control group using the traditional suture, compared the risk factors affecting incision healing and incision infection rate in both groups. Results In the postoperative 3 ~ 20 days, 2 cases were infected with incision in the observation group, the infection rate was 2.50%. In the control group, 9 cases were incisional infection, the infection rate was 11.25%. The incision infection rate in the observation group was significantly lower than that in the control group (P < 0.05). The infection rate of type Ⅲ incision was 1.25% in the observation group and 8.75% in the control group, the difference was statistically significant (P0.05). The infection rate of type Ⅱ incision was no significant difference between the two groups; the operation time The infection rate of> 120 min was 1.25% in the observation group and 10.00% in the control group (P <0.05). There was no significant difference in incision infection rate between the two groups at <120 min. Conclusion Compared with ordinary suture, antibacterial Vicat suture can reduce the incision infection rate in operation time≥120min and type Ⅲ incision gastrointestinal emergency operation.