Clinical Prevention Of Surgical Wound Infection In Colorectal Cancer

BackgroundSince the advent of antibiotics, the percent of surgical site infection wassignificantly decreased. With the advancement of technology, one after another ofvarious measures appeared to prevent surgical site infection. But the wound infectionof surgery still accounts for the largest proportion of hospital infections. Reduce thepercent of patient surgical wound infection can reduce the time and the money thatpatients spend in hospital. That can avoid the patients to further disputes. Therefore,prevention of surgical wound infection is a long-term task that faced by each surgeon.ObjectiveObserved the effect of antibacterial Vicryl line，PDS Ⅱ lines and suctiondrainage tube to prevent surgical incision infection of colorectal cancer. Comparativeanalysis of infection of surgical incision and the samples associated risk factors, wecan find clinical treatment measures which can effectively prevent and reducesurgical wound infection rate.Material and MethodReviewing and analysising the patients with colorectal cancer at the SecondAffiliated Hospital of Zhengzhou University from August2010to November2013, Ihave established a datebase for a total of176cases. Group method of data handing according to whether the use of antimicrobial Vicryl, PDS Ⅱ line or suctiondrainage tube is split into blank group, control group1(Vicryl line, PDS Ⅱ line),control group2(Vicryl line, PDS Ⅱ line, subcutaneous suction drainage tube).And then following the age, body mass index, preoperative hemoglobin and albuminlevels, whether for diabetics, operative time, tumor stage and other factors on threesets of data chi-square test to correct the sample data (P <0.05). Then the sample databased on age, body mass index, preoperative hemoglobin and albumin levels,whether for diabetics, operative time, tumor stage uses chi-square test. Theintroduction of a standard variable of0.05,0.10exclusion criteria. After graduallyadopting the risk factors affecting surgical incision infection before the establishmentof logistic regression method of colorectal cancer screening factors. According toMinistry of Health, Medical Administration," hospital infection diagnostic criteria "to diagnose whether the surgical incision infection. According to the use of SPSS17.0software to analyze the data.ResultAfter finishing the data using statistical analysis, the infection rate in the controlgroup1and group2is lower than the blank control group, the difference wasstatistically significant, control group1and the control group2two pairs of colorectalcancer wound infection of postoperative both gifted in the blank group; infection ratein the control group1was higher than the control group2, the difference wasstatistically significant, the control group2would be bettet in preventing surgicalwound infection. Age>60years, history of diabetes, body mass index>28,accompanied by hypoalbuminemia or hemoglobin decreased operative time>180minmay be more likely to cause wound infection in colorectal cancer surgery, gender,tumor stage, creating protectors use may impact surgical wound infection rate in thisexperiment, but it is not clear factor.ConclusionAdvanced age, diabetes, hypoalbuminemia, anemia, obesity and surgical timesare risk factors for infection of surgical wound, the use of absorbable suture(antibacterial Vicryl line and PDS Ⅱ) can reduce surgical wound infection.combined with subcutaneous suction drainage tube, the effect would be better.