围术期保温对结直肠癌手术切口感染影响的观察

目的 观察综合保温措施对手术患者术后切口感染发生的影响.方法 将择期结直肠癌手术患者随机分为两组；观察组将手术室温度设置为24～26 uC,湿度40％～60％,手术床加铺电子恒温毯,加盖恒温毯,输入液体、血液用液体加温仪加温、冲洗液用恒温箱加温至37℃,对照组按常规进行手术；比较综合保温措施对手术患者术后发生切口感染的影响.结果 观察组患者的体温在手术结束时为36.8℃,高于对照组；对照组51例患者中,4例发生术后切口感染,感染率7.8％；观察组57例患者中有2例发生切口感染,感染率为3.5％,两组比较,差异有统计学意义(P＜0.05).结论 术中采取保温措施可有效预防手术患者术后切口感染的发生,降低手术的危险因素,增加患者的舒适感.

Effect of heat preservation on surgical incision infection after colorectal cancer operation during perioperative period

OBJECTIVE To observe the effect of heat preservation during perioperative period on postoperative infection after colorectal cancer operation. METHODS Patients receiving colorectal cancer operation were randomly divided into 2 groups.Group 1 received the surgery under certain conditions of 24～26 ℃ and 40%-60% humidity in surgical room,electronic thermostatic preheated tick and quilt on operating table,preheated infusion and blood at 37 ℃ with a liquid heater,preheated washing liquid at 37 ℃ with a thermostatic heater.Group 2 just received the routine surgery.Then the effect of heat preservation on postoperative infection of patients were observed and examined. RESULTS Patients in group 1 had higher body temperature of 36.8 ℃ than group 2,and the postoperative infection rate of 3.5% in 2 of 51 cases in group 1 is lower than that of 7.8% in 4 of 57 cases in group 2.There is statistical difference between the two groups(P<0.05). CONCLUSION Heat preservation during perioperative period can effectively prevent postoperative infections,reduce the risk of operation and increase patient comfort.