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目的观察碘伏冲洗预防急性化脓性阑尾炎切口感染的疗效,为临床工作提供参考。方法选择我院2009年5月～2012年4月收治的急性化脓性阑尾炎患者102例作为研究对象,均给予开腹手术治疗,术后常规应用抗生素。将全部患者随机进行分组。对照组给予生理盐水冲洗,观察组给予碘伏冲洗。观察两组患者切口感染发生率的差异。结果与对照组比较,观察组切口感染发生率较低,差异有统计学意义(p<0.05)。发生感染的患者经调整抗生素品种和剂量后,感染均得到有效控制,切口均达到甲级愈合。结论采用碘伏冲洗预防急性化脓性阑尾炎切口感染,可以取得较好的效果,值得临床推广应用。
Objective To observe the efficacy of iodophor irrigation in preventing incisional infection of acute suppurative appendicitis and provide reference for clinical work. Methods A total of 102 patients with acute suppurative appendicitis who were admitted to our hospital from May 2009 to April 2012 were enrolled in this study. All patients underwent open surgery and antibiotics were given routinely. All patients were randomly grouped. The control group was given saline flush, the observation group was given iodophor flushing. The incidence of incision infection in the two groups was observed. Results Compared with the control group, the incision infection rate in the observation group was lower, the difference was statistically significant (p <0.05). Infected patients after the adjustment of antibiotic varieties and doses, the infection have been effectively controlled, incisions have reached Grade A healing. Conclusion The iodophor irrigation to prevent acute suppurative appendicitis incision infection can achieve better results, it is worthy of clinical application.