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聚维酮碘对腹部手术术后伤口感染的影响。

The effect of povidone-iodine on postoperative wound infection in abdominal surgery.

作者信息

Kothuis B J

出版信息

Neth J Surg. 1981 Oct;33(4):186-9.

PMID:7301160
Abstract

Wound healing following elective laparotomy was studied in 220 patients. The patients were divided into two groups; the first group received preoperative skin disinfection with alcohol 70% and iodine-tincture 2% and, before skin suturing, disinfection with iodine. The second group received preoperative skin disinfection with povidone-iodine 10% (Betadine) and, before skin closure, a 10% povidone-iodine solution was applied to the subcutis and skin edges. Complicated wound healing was seen in 21% of the first and 24% of the second group; wound sepsis rate was 13% and 16% respectively, in the majority of cases following colorectal surgery.

摘要

对220例择期剖腹手术患者的伤口愈合情况进行了研究。患者被分为两组;第一组术前用70%酒精和2%碘酒进行皮肤消毒,在皮肤缝合前再用碘酒消毒。第二组术前用10%聚维酮碘(碘伏)进行皮肤消毒,在皮肤缝合前,将10%聚维酮碘溶液涂抹于皮下组织和皮肤边缘。第一组21%、第二组24%出现了复杂的伤口愈合情况;在大多数结直肠手术后的病例中,伤口感染率分别为13%和16%。

相似文献

1
The effect of povidone-iodine on postoperative wound infection in abdominal surgery.聚维酮碘对腹部手术术后伤口感染的影响。
Neth J Surg. 1981 Oct;33(4):186-9.
2
Paint-only is equivalent to scrub-and-paint in preoperative preparation of abdominal surgery sites.在腹部手术部位的术前准备中,仅涂擦法与擦洗加涂擦法效果相当。
J Am Coll Surg. 2005 Nov;201(5):737-41. doi: 10.1016/j.jamcollsurg.2005.05.023. Epub 2005 Aug 31.
3
Povidone-iodine irrigation of the subcutaneous tissue to prevent surgical wound infections.皮下组织聚维酮碘冲洗预防手术伤口感染。
Surg Gynecol Obstet. 1982 Aug;155(2):221-4.
4
Povidone-iodine bowel irrigation before resection of colorectal carcinoma.结直肠癌切除术前聚维酮碘肠道灌洗
Ann R Coll Surg Engl. 1985 Jul;67(4):227-8.
5
Ineffectiveness of povidone-iodine irrigation of abdominal incisions.腹部切口聚维酮碘冲洗的无效性
Obstet Gynecol. 1980 Jun;55(6):744-7.
6
Irrigation of subcutaneous tissue with povidone-iodine solution for prevention of surgical wound infections.用聚维酮碘溶液冲洗皮下组织以预防手术伤口感染。
Surg Gynecol Obstet. 1979 Feb;148(2):227-31.
7
"A comparative trial of cephaloridine with Polybactrin, povidone-iodine and control for prophylaxis of wound infection in abdominal surgery".头孢菌素与多粘菌素、聚维酮碘及对照用于腹部手术伤口感染预防的比较试验
Br J Clin Pract. 1980 Feb;34(2):45-6, 54.
8
Disinfection of the umbilicus for abdominal surgery.腹部手术脐部消毒。
Lancet. 1971 Dec 11;2(7737):1276-8. doi: 10.1016/s0140-6736(71)90599-x.
9
Povidone-iodine: an adjunct in the treatmen of wound infections, dehiscences, and fistulas in head and neck surgery.聚维酮碘:头颈外科伤口感染、裂开及瘘管治疗中的辅助药物。
Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1977 Jan-Feb;84(1):68-74.
10
No risk of surgical site infections from residual bacteria after disinfection with povidone-iodine-alcohol in 1014 cases: a prospective observational study.1014 例患者经聚维酮碘-酒精消毒后无残留细菌导致手术部位感染的风险:一项前瞻性观察研究。
Ann Surg. 2012 Mar;255(3):565-9. doi: 10.1097/SLA.0b013e3182468b2d.

引用本文的文献

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Does povidone-iodine application in surgical procedures help in the prevention of surgical site infections? An updated meta-analysis.手术中应用聚维酮碘有助于预防手术部位感染吗?一项更新的荟萃分析。
Wideochir Inne Tech Maloinwazyjne. 2022 Jun;17(2):261-278. doi: 10.5114/wiitm.2021.112479. Epub 2022 Jan 9.
2
Intracavity lavage and wound irrigation for prevention of surgical site infection.腔内灌洗和伤口冲洗预防手术部位感染
Cochrane Database Syst Rev. 2017 Oct 30;10(10):CD012234. doi: 10.1002/14651858.CD012234.pub2.
3
Povidone-Iodine Irrigation of Subcutaneous Tissues May Decrease Surgical Site Infections in Elective Colorectal Operations: A Systematic Review.
皮下组织聚维酮碘冲洗可能降低择期结直肠手术的手术部位感染:一项系统评价
Gastroenterology Res. 2011 Jun;4(3):97-106. doi: 10.4021/gr319e. Epub 2011 May 20.
4
Intra-operative wound irrigation to reduce surgical site infections after abdominal surgery: a systematic review and meta-analysis.术中伤口冲洗以降低腹部手术后手术部位感染:一项系统评价和荟萃分析。
Langenbecks Arch Surg. 2015 Feb;400(2):167-81. doi: 10.1007/s00423-015-1279-x. Epub 2015 Feb 14.