胃口逆转后手术部位感染:线性和袋子串关闭之间的比较
Muhammad Awais Khan1, Khurram Niaz2, Shahzeb Asghar3
1Accident and Emergency, Frimley Health National Health Service (NHS) Foundation Trust, Surrey, GBR.
Cureus
|January 8, 2024
概括
这项研究比较了使用线性皮肤闭合 (LSC) 和钱包弦近似 (PSA) 逆转口腔术后的手术部位感染 (SSI) 率. 虽然在统计学上并不显著,但LSC的SSI率低于PSA.
科学领域:
- 外科胃肠道外科手术
- 临床试验 临床试验
- 感染控制 感染控制
背景情况:
- 肠胃口腔对于管理各种胃肠道疾病至关重要,但会带来并发症的风险.
- 手术部位感染 (SSI) 是一个严重的担忧后,口腔逆转.
- 传统的线性皮肤封闭 (LSC) 和较新的袋绳近似 (PSA) 是用于静脉栓逆转皮肤封闭的方法.
研究的目的:
- 为了比较手术部位感染 (SSI) 的频率在线性皮肤关闭 (LSC) 和袋子链近似 (PSA) 之间,在经历静脉逆转的患者中.
主要方法:
- 进行了一项随机对照临床试验,80名患者接受了口腔静脉逆转.
- 患者被分为两组:一组接受LSC,另一组接受PSA.
- 研究期间为2021年3月至2022年11月.
主要成果:
- 整体SSI率为22.5% (18/80名患者).
- 在LSC组中,SSI的发生率为15.0% (6/40) 在PSA组中为30.0% (12/40).
- 两组之间SSI率的观察差异在统计学上并不显著 (p=0.108).
结论:
- 虽然PSA可能会带来美学上的好处,但目前的数据并不能确定它在减少静脉阻塞后的SSI方面对LSC的优势.
- 需要进一步进行大规模的多中心随机对照试验,以确定最佳的皮肤关闭技术,以逆转静脉口腔.
- 需要更多的研究来确定哪种方法在这个患者群体中优越地减少SSI.
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