不同备皮方式对开颅手术患者术后恢复情况的影响

摘要

Objective To evaluate clinical outcomes of different methods of skin preparation for patients undergoing craniotomy.Methods Totally 293 cases of patients undergoing craniotomy were randomly assigned into two groups.The new method and conventional method were respectively implemented in the control group and the observation group.The outcomes of surgical site infection and patient satisfaction were compared between the two groups.Results The incidence of postoperative SSI was 3.38% and DSSI was 0.68% in the control group.The incidence of postoperative SSI was 11.72% and DSSI was 5.51% in the observation group.The differences between the two groups were significant(P<0.05).The scores of satisfaction were (2.85±1.93) in the control group,and (4.45±2.54) in the observation group;the difference between the two groups was significant (P<0.05).%目的 评价不同备皮方式对开颅手术患者术后恢复情况的影响.方法 将293例开颅手术患者按抛硬币法随机分为观察组(148例)和对照组(145例),观察组使用改良备皮法,对照组使用传统备皮法,比较两组患者的术后感染发生率和患者满意度.结果 观察组术后表浅切口感染(SSI)发生率为3.38%,深部手术切口感染(DSSI)发生率为0.68%;而对照组SSI发生率为11.72%,DSSI发生率为5.51%;两组SSI和DSSI发生率比较差异有统计学意义(P<0.05);观察组患者满意度评分为(2.85±1.93)分,对照组为(4.45±2.54)分,两组差异有统计学意义(P<0.05).结论 改良备皮法能提升开颅手术患者术后恢复的效果,值得临床推广.