2023年4月第30卷第4期脉冲冲洗联合手术室针对性护理预防膝关节置换患者术后切口感染的效果分析何月柳，黄素珍，李祖君（佛山市中医院手术室，广东佛山528000）【摘要】目的探讨脉冲冲洗联合手术室针对性护理预防膝关节置换患者术后切口感染的效果。方法80例膝关节置换患者随机分为两组，观察组予以脉冲冲洗联合手术室针对性护理，对照组予以手术室针对性护理，比较两组的干预效果。结果观察组的切口感染率低于对照组，愈合情况优于对照组，术后7d的IL-6、CRP、TNF-α水平均低于对照组，住院时间短于对照组（P<0.05）。结论脉冲冲洗联合手术室针对性护理可有效预防膝关节置换患者术后切口感染，促进切口愈合，减轻术后炎性反应。【关键词】膝关节置换术；脉冲冲洗；手术室针对性护理；术后切口感染中图分类号：R473.6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0553AnalysisontheEffectofPulseIrrigationCombinedwithTargetedNursinginOperatingRoominPreventionofPostopera-tiveIncisionInfectioninPatientsUnderwentKneeArthroplasty//HEYueliu,HUANGSuzhen,LIZujun(OperatingRoom,FoshanHospitalofTraditionalChineseMedicine,Foshan528000,China)[Abstract]ObjectiveToexploretheeffectofpulseirrigationcombinedwithtargetednursinginoperatingroominpreventionofpostoperativeincisioninfectioninpatientsunderwentkneearthroplasty.Methods80patientswithkneearthroplastywererandomlydividedintotwogroups.Theobservationgroupreceivedpulseirrigationcombinedwithtargetednursinginoperatingroom,andthecontrolgroupreceivedtargetednursinginoperatingroom.Theinterventioneffectsofthetwogroupswerecompared.ResultsTheincisioninfectionrateoftheobservationgroupwaslowerthanthatofthecontrolgroup,thehealingwasbetterthanthatofthecontrolgroup,thelevelsofIL-6,CRPandTNF-αat7daftersurgerywerelowerthanthoseofthecontrolgroup,andthehospitalizationtimewasshorterthanthatofthecontrolgroup(P<0.05).ConclusionsPulseirrigationcombinedwithtargetednursinginoperatingroomcaneffectivelypreventpostoperativeincisioninfection,promoteincisionhealingandreducepostoperativeinflammatoryresponseinpatientsunderwentkneearthroplasty.[Keywords]Kneearthroplasty;Pulseirrigation;Targetednursinginoperatingroom;Po...
