滕士庆

高渗盐水冲洗对预防阑尾炎术后切口感染的有效性分析

滕士庆

【摘要】目的 探讨阑尾炎术后用高渗盐水冲洗对预防切口感染的疗效。方法 2013年6月～2014年5月我院治疗的阑尾炎患者共76例，分为对照组36例与观察组40例。对照组给予生理盐水冲洗伤口，观察组给予10%高渗盐水冲洗切口、换药，比较两组疗效。结果 观察组的住院期间感染例数少于对照组、住院时间短于对照组，两组比较差异有统计学意义（P＜0.05）。结论 高渗盐水能缩短伤口愈合时间、降低切口感染的发生，方法简单易行。

【关键词】高渗盐水；阑尾炎；切口感染

作者单位：222022 连云港市海州区新坝卫生院外科

Effectiveness Analysis of Hypertonic Saline Irrigation for Prevention of Postoperative Wound Infections in Appendicitis

TENG Shiqing, Lianyungang Haizhou District Xinba health center Surgery Department, Lianyungang 222022, China

[Abstract]Objective To investigate the effect of hypertonic saline irrigation on the prevention of wound infection after appendectomy. Methods 76 cases of appendicitis were treated in our hospital form June 2013 and May 2014. They were divided into control group of 36 cases and

observation group of 40 cases. Respectively give Saline, 10% hypertonic saline irrigation incision, dressing change, to compare the effect of the two groups. Results The number of patients hospitalized for observation group was less than that of the control group,the hospitalization time was significantly shorter than the control group. The difference between the two groups was significantly(P<0.05). Conclusion Hypertonic saline can shorten wound healing time and reduce the occurrence of wound infection. The method is simple and easy.

[Key words]Hypertonic saline, Appendicitis, Wound infection

切口感染作为阑尾炎切除术后常见的并发症之一，发病因素较多，以坏疽性或化脓性阑尾炎多见，临床主要表现为术后2天左右体温升高、切口疼痛，伴随局部红肿等现象[1]。为有效降低与控制切口感染发生率，近年来，我院采用高渗盐水冲洗伤口，并与其他冲洗液进行比较，以探讨高渗盐水对预防阑尾炎术后感染的有效性，现报道如下。

1　资料与方法

1.1 一般资料

选择2013年6月～2014年5月在我院普外科住院治疗的阑尾炎患者共76例，其中男36例，女40例，年龄23～52岁，平均（37.5±12.7）岁，其中单纯阑尾炎例21例，化脓性阑尾炎例33例，坏疽性阑尾炎22例，患者均无肺部感染等其他潜在性感染，排除肾炎、肝硬化、低蛋白血症以及免疫低下疾病患者，将患者随机分为对照组与观察组，两组一般资料差异无统计学意义（P ＞0.05），具有可比性。

1.2治疗方法