Advance Search
ZHU Yingqin. Effect of 2% clohexidine glucose combined withearly anal closure in prevention of perineal incision infection in Miles surgery[J]. Journal of Clinical Medicine in Practice, 2019, 23(19): 76-78. DOI: 10.7619/jcmp.201919020
Citation: ZHU Yingqin. Effect of 2% clohexidine glucose combined withearly anal closure in prevention of perineal incision infection in Miles surgery[J]. Journal of Clinical Medicine in Practice, 2019, 23(19): 76-78. DOI: 10.7619/jcmp.201919020
shu

Effect of 2% clohexidine glucose combined withearly anal closure in prevention of perineal incision infection in Miles surgery

  • Department of Gastroenterology, People′s Hospital of Taixing City in Jiangsu Province, Taizhou, Jiangsu, 225400

More Information
  • Received Date: June 16, 2019
  • Accepted Date: August 24, 2019
  • Available Online: February 28, 2021
  • Published Date: October 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To investigate the application of 2%chlorhexidine glucose combined with early anal closure in prevention of perineal incision infection in Miles surgery.
      Methods  A total of 62 patients who underwent Miles surgery in our hospital were divided into observation group (32 cases) and control group (30 cases). The control group was given routine preoperative preparation and intraoperative routine surgery, while the observation group was given 2%chlorhexidine glucose to scrub the perineum at 3 days before operation, and the anus was closed immediately after the operation. The incidence of postoperative incision infection rate was compared between the two groups.
      Results  The infection rate of postoperative perineal incision was 6.3% (2/32) in the observation group, which was significantly lower than 30.0% (9/30) in the control group(P < 0.05). The antibiotic use time and hospital stay in the observation group were significantly shorter, the hospitalization expenses was significantly lower, and the nursing satisfaction was significantly higher than that in the control group (P < 0.05).
      Conclusion  Routine preparation at 3 days before surgery combined with 2%chlorhexidine glucose to scrub the perineum, immediately close of anus after anaesthesia and disinfection during the operation can effectively reduce the incidence of postoperative incision infection, and effectively prevent perineal incision infection after Miles surgery. At the same time, it can effectively shorten postoperative antibiotic use time and length of hospital stay, reduce the total hospital expense of hospital stay, and improve patients′satisfaction.
    • FullText(HTML)
    • References (18)
  • [1]
    程科萍, 谢红伟, 王俊, 等. 2%葡萄糖氯己定皮肤消毒液在普外科手术患者的临床应用[J].中华医院感染学杂志, 2015, 25(24): 5741-5743. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201524083.htm
    [2]
    王印川, 王庆丰, 苗勤, 等. 2%葡萄糖酸氯己定醇皮肤消毒液对皮肤表面消毒效果及对皮肤刺激性的研究[J].中华医院感染学杂志, 2016, 26(19): 4547-4550. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201619077.htm
    [3]
    鞠昊, 付婷.直肠癌Miles术后会阴切口的处理方式及护理对策[J].中华结直肠疾病电子杂志, 2019, 8(2): 198-200. doi: 10.3877/cma.j.issn.2095-3224.2019.02.021
    [4]
    刘庚.低位直肠癌肛提肌外腹会阴联合切除术的护理[J].护理学杂志, 2013, 28(20): 31-33. doi: 10.3870/hlxzz.2013.20.031
    [5]
    薛超.低位直肠癌患者Miles手术后会阴部手术切口感染的临床效果分析[J].世界最新医学信息文摘, 2019, 19(11): 77-77. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201911064.htm
    [6]
    张芬, 毕雪玲, 郭晓莉, 等.简易负压引流装置对妇科手术伤口愈合及感染、术后瘢痕、血清IL-2、IL-8和IL-10的影响[J].中国性科学, 2019, 28(3): 82-85. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ201903025.htm
    [7]
    徐建峰, 蒋志龙, 金勇. Miles术后会阴部切口感染的危险因素分析及预防对策[J].腹部外科, 2017, 30(3): 224-228. doi: 10.3969/j.issn.1003-5591.2017.03.020
    [8]
    中华人民共和国卫生部.医院感染诊断标准[S].北京: 中华人民共和国卫生部, 2001.
    [9]
    黄颖, 刘晨音, 黄梦莉, 等.肥皂棉球清洁在腹腔镜手术前脐部备皮应用效果研究[J].按摩与康复医学, 2019, 10(2): 77-78. doi: 10.3969/j.issn.1008-1879.2019.02.037
    [10]
    冯燕, 纪建波.腹腔镜直肠癌根治术患者的围手术期护理[J].当代护士:下旬刊, 2014(7): 56-57. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201407032.htm
    [11]
    黎婷.剖腹产术前晚皮肤消毒对术后切口感染的影响研究[J].实用临床护理学电子杂志, 2019(6): 75-75, 78. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL201906065.htm
    [12]
    韩平, 厉明秀, 马成燕.直肠癌根治术会阴感染的病原学分析[J].中华医院感染学杂志, 2015, 25(2): 396-398.
    [13]
    魏玲, 孙德玲.爱护佳TM皮肤及手清洗消毒液用于造血干细胞移植术患者术前全身皮肤消毒的效果观察[J].世界最新医学信息文摘, 2018, 18(89): 91-92. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201889073.htm
    [14]
    王清妍, 韩月欣, 逄丽华, 等.不同皮肤准备方法对骨科手术部位感染的影响[J].中华医院感染学杂志, 2016, 26(3): 625-626, 629. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201603051.htm
    [15]
    徐丽英, 丁卉, 周晓霞.葡萄糖酸氯己定术前沐浴预防骨科切口感染的效果分析[J].中国消毒学杂志, 2013, 30(11): 1068-1069. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201311028.htm
    [16]
    郭素梅, 李丽凤.葡萄糖酸氯己定与聚维酮碘用于术前皮肤准备的效果比较[J].中国消毒学杂志, 2017, 34(7): 684-686. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201707025.htm
    [17]
    李乐之, 路潜.外科护理学[M].北京:人民卫生出版社, 2017: 106-106.
    [18]
    邓国妹, 邓国霞, 林学.肝癌介入术前两种不同方式备皮的效果和安全性比较[J].基层医学论坛, 2019, 23(9): 1259-1260. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLT201909044.htm
    • Related Articles

  • Cited by

    Periodical cited type(7)

    1. 梁铭标，梁会营，李丹，林晓兰，余学清. 智慧医养康服务一体化应用新模式构建与研究. 中国卫生信息管理杂志. 2024(01): 25-31 .
    2. 张静，贾建磊，李婷. 互联网+医养结合下心理干预模式的可行性及效果. 河北医药. 2024(02): 270-272 .
    3. 曹晓晓，于平平，王萍. 应对老龄化国家背景下我国“互联网+护理服务”存在的问题及其解决路径. 医学与法学. 2024(02): 86-90 .
    4. 蒋艳双，解红文，袁菲，杨昭霞，杨鸿雁. 脑卒中偏瘫患者“互联网+”H2H康复模式探讨. 实用临床医药杂志. 2023(03): 112-116 . 本站查看
    5. 董雪凡，马静宜，耿怡丹，洪查理，姜彩菱，田建丽. 我国“互联网+医养结合”养老模式实施的研究进展. 职业与健康. 2023(15): 2154-2157 .
    6. 张洪，刘琴. 医养结合背景下“互联网+护理服务”中的法律风险及其规制. 医学与法学. 2023(04): 96-100 .
    7. 陈莹莹，陈国连，赵翠松，张小芳，叶将霞，王昕云，赵志莹，姚静. 网约护士的现状与研究进展. 全科护理. 2023(36): 5069-5072 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (215) PDF downloads (4) Cited by(7)
    Turn off MathJax
    Article Contents
    Abstract
    References

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return