To analyze the effect of prevention and control of wound infection in emergency surgery
分析急诊外科创伤伤口感染的预防控制与实施效果

摘要

目的 研究分析急诊外科创伤伤口感染的预防控制与实施效果。方法 采用对比法，选取某院2023年3月份~2024年3月份诊治的急诊外科创伤患者110例作为此次研究对象，随机分为对照组和试验组，每组例数各55例，对照组采用常规的伤口处理方法，试验组基于常规伤口处理方法基础上，采用伤口感染预防控制方法。观察两组患者干预前后的生活质量评估与疼痛程度评估、两组伤口愈合情况、两组伤口感染情况。结果 干预后，对照组和试验组的SF-36总分均有所增加，而且试验组的生活质量改善效果明显优于对照组；干预后，对照组和试验组的VAS评分均有所改善，对照组干预后VAS评分为（2.58±0.76）分，试验组干预后VAS评分为（1.27±0.53）分，试验组的疼痛度改善效果明显优于对照组；试验组患者伤口愈合时间为（7.52±1.43）d，试验组患者伤口愈合时间明显短于对照组；试验组1级愈合例数为40例，1级愈合率为72.73%，试验组患者的1级愈合率明显高于对照组；试验组感染例数为2例，伤口感染发生率为3.64%，试验组患者的伤口感染发生率明显低于对照组，各项组间差异均具有统计学意义（P＜0.05）。结论 相比于常规伤口处理方法，急诊外科创伤伤口感染的预防控制与实施效果显著，不仅能够提高患者生活质量，减少疼痛度，还能加快伤口愈合，改善伤口愈合情况，降低伤口感染发生率，故而伤口感染预防控制方法值得推广应用。

Abstract

Objective To study and analyze the effect of prevention and control of wound infection in emergency surgery.
Methods A total of 110 emergency surgical trauma patients treated and treated in a hospital from March 2023 to March 2024 were selected as the subjects of this study, and randomly divided into control group and experimental group, with 55 cases in each group. The control group was treated with conventional wound treatment methods, while the experimental group was treated with wound infection prevention and control methods based on conventional wound treatment methods. The quality of life assessment, pain degree assessment, wound healing and wound infection of the two groups were observed before and after intervention.
Results After intervention, the total score of SF-36 in both the control group and the experimental group increased, and the quality of life in the experimental group was significantly better than that in the control group. After intervention, the VAS score of both the control group and the experimental group was improved, the VAS score of the control group was (2.58±0.76) points after intervention, and the VAS score of the experimental group was (1.27±0.53) points after intervention. The improvement effect of pain degree in the experimental group was significantly better than that in the control group. The wound healing time of experimental group was (7.52±1.43) d, and the wound healing time of experimental group was significantly shorter than that of control group. The number of grade 1 healing cases in the experimental group was 40, and the grade 1 healing rate was 72.73%. The grade 1 healing rate in the experimental group was significantly higher than that in the control group. The number of infected cases in the experimental group was 2, and the incidence of wound infection was 3.64%. The incidence of wound infection in the experimental group was significantly lower than that in the control group, and the differences among all groups were statistically significant (P < 0.05).
Conclusion   Compared with conventional wound management methods, the prevention, control and implementation of wound infection in emergency surgery are effective, which can not only improve the quality of life of patients, reduce pain, but also accelerate wound healing, improve wound healing and reduce the incidence of wound infection. Therefore, the promotion and application of wound infection prevention and control methods are valuable.