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目的探讨下肢静脉曲张术后感染患者药物治疗效果及护理。方法回顾性分析庆元县人民医院2011年1月至2014年1月收治的下肢静脉曲张术后感染患者120例的临床资料,分析术后感染病原菌状况、治疗及护理效果。结果下肢静脉曲张术后感染病原菌分布广泛,以铜绿假单胞菌和金黄色葡萄球菌为主。对头孢西丁和万古霉素敏感。治疗后,观察组总有效率优于对照组(98.33%/86.67%),干预组总有效率优于未干预组(96.67%/80.00%、100.00%/93.33%),差异具有统计学意义(χ2=3.375、2.931,均P<0.05);干预组舒适度评估优于未干预组[(7.89±0.76)/(4.72±0.47)、(8.03±0.95)/(4.88±0.42)],差异均有统计学意义(t=3.476、4.025,P<0.05)。结论下肢静脉曲张术后感染患者病原菌分布广泛,临床应合理选择抗生素,配合有效护理干预,以提高治疗效果。
Objective To investigate the therapeutic effect and nursing care of patients with varicose vein infection after operation. Methods A retrospective analysis of Qingyuan County People’s Hospital from January 2011 to January 2014 admitted to the lower extremity varicose vein infection in patients with clinical data of 120 cases, analysis of postoperative infection pathogenic bacteria, treatment and nursing effect. The results of varicose vein infection of pathogens widely distributed to Pseudomonas aeruginosa and Staphylococcus aureus. Sensitive to cefoxitin and vancomycin. After treatment, the total effective rate in the observation group was significantly higher than that in the control group (98.33% / 86.67%). The total effective rate in the intervention group was significantly higher than that in the non-intervention group (96.67% / 80.00%, 100.00% / 93.33%) (χ2 = 3.375,2.931, all P <0.05). The assessment of comfort in the intervention group was better than that in the non-intervention group [(7.89 ± 0.76) / (4.72 ± 0.47), (8.03 ± 0.95) / (4.88 ± 0.42) There was statistical significance (t = 3.476, 4.025, P <0.05). Conclusion The pathogens of varicose vein infection in patients with varicosis are widely distributed. Clinically, antibiotics should be selected reasonably and combined with effective nursing intervention to improve the therapeutic effect.