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聚维酮碘溶液与过氧化氢预防化脓性阑尾炎术后切口感染
引用本文:梁昶明,林明,张晓波.聚维酮碘溶液与过氧化氢预防化脓性阑尾炎术后切口感染[J].广州医学院学报,2012,40(3):88-90.
作者姓名:梁昶明  林明  张晓波
作者单位:梁昶明 (茂名市茂南区高山镇卫生院外科,广东茂名,525011) ; 林明 (茂名市茂南区高山镇卫生院外科,广东茂名,525011) ; 张晓波 (茂名市茂南区人民医院外科,广东茂名,525000) ;
摘    要:目的:探讨不同的处理方法预防化脓性阑尾炎患者术后切口感染的临床效果。方法:100例患者随机分为观察组(50例)和对照组(50例),观察组采用1%聚维酮碘溶液和3%过氧化氢处理切口,对照组采用生理盐水冲洗切口,比较两组切口感染的情况。结果:观察组发生感染1例,感染率为2%;对照组发生感染6例,感染率为12%,观察组切口发生感染率低于对照组,两组比较差异有统计学意义(P〈0.05)。结论:应用1%聚维酮碘溶液和3%过氧化氢处理化脓性阑尾炎切口,可以有效降低感染率,值得临床推广。

关 键 词:化脓性阑尾炎  切口感染  过氧化氢  聚维酮碘溶液

Hydrogen peroxide and povidone iodine iolution on the prevention of infection of incision after the operation of patients with purulent appendicitis
LIANG Chang-ruing,LIN Ming,ZHANG Xiao-bo.Hydrogen peroxide and povidone iodine iolution on the prevention of infection of incision after the operation of patients with purulent appendicitis[J].Academic Journal of Guangzhou Medical College,2012,40(3):88-90.
Authors:LIANG Chang-ruing  LIN Ming  ZHANG Xiao-bo
Institution:1Department of Sugery, Maoming's Gaoshan Town Health Center in Maonan District Maoming 525011, Guangdong;2Department of Surgery, Maonan District' s People' s Hospital of Maoming, Maoming 525000, Guangdong , China)
Abstract:Objective: To explore the clinical effects of different treatment methods on prevention infection of incision after the operation of patients with purulent appendiitis. Method:100 cases patients were divided into the intervention group ( 50 cases) and control group ( 50 cases). The control group was applied for the NS, the intervention group took the 1% povidone iodine iolution and 3% hydrogen peroxide, and then compared the infection rate of them. Result: One case( 2% )in intervention group got infection,6 cases( 12% ) got infection in control group ; There was significant different in infection rate between two groups statistically ( P 〈 0. 05 ) . Conclusion: Application of 1% povidone iodine iolution and 3 % hydrogen peroxide in treatment of incision with purulent appendicitis can effectively reduce the infection rate, and it is worthy of being recommended in clinical oractice.
Keywords:purulent appendicitis  infection of incision  hydrogen peroxide  povidone iodine iolution
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