抗菌薇乔线及皮下放置负压引流管预防阑尾切除术切口感染的临床研究

目的 探讨抗菌薇乔线以及皮下放置负压引流管用于预防阑尾切除术切口感染的临床效果.方法 选取阑尾切除术患者540例,随机分为两组,其中对照组266例,观察组274例.对照组患者皮下放置负压引流;观察组患者在对照组基础上加用抗菌薇乔线.结果 观察组患者切口感染率、脂肪液化率均明显低于对照组,换药次数明显少于对照组,拆线时间、抗生素使用时间、住院时间均明显短于对照组,瘢痕宽度明显小于对照组;甲级愈合率明显高于对照组;基本无痛者明显少于对照组,差异均有统计学意义（P＜0.05）.结论 使用抗菌薇乔线及皮下放置负压引流管可以有效预防阑尾切除术切口感染,促进术后切口愈合.

Clinical research on antibacterial vicryl rapide and placing negative pressure drainage under skin preventing incision infection of appendicectomy

Objective To observe the clinical effect of antibacterial vicryl rapide and placing negative pressure drainage under skin preventing incision infection of appendicectomy. Methods A total of 540 cases with appendicecto- my were selected and divided into two groups randomly, the control group of 266 cases and the observation group of 247 cases. The control group was treated with placing negative pressure drainage under skin, and the observation group was treated with antibacterial vicryl rapide based on the control group. Results The incision infection rate and fat liq- uefaction rate of the observation group were evidently lower than that of the control group, the dressing times was evi- dently less than that of the control group, the stitches time, antibiotic use time and length of stay were evidently shorter than that of the control group, the scar width was evidently less than that of the control group, and the Class-A healing rate was evidently higher than that of the control group. The number without pain was evidently less than that of the control group. The difference was evident between two groups （P〈0.05）. Conclusion Applying antibacterial vicryl rapide and placing negative pressure drainage under skin can effectively prevent incision infection of appendicectomy and pro- mote the healing of incision after operation.