Application effect of CHG antibacterial transparent dressing combined with absorbent gelatin sponge on exudation after abdominal puncture in patients with cancerous ascites
Objective To investigate the application effect of chlorhexidine gluconate(CHG)antibacterial transparent dressing combined with absorbent gelatin sponge in the care of patients with cancer ascites after abdominal puncture and extubation.Methods A total of 120 patients with cancerous ascites admitted to Mingji Hospital Affiliated to Nanjing Medical University from March 2022 to February 2023 were selected and divided into control group and experimental group according to random number table method,with 60 cases in each group.The control group was treated with common dressing combined with absorbable gelatin sponge,and the experimental group was treated with CHG antibacterial transparent dressing combined with absorbable gelatin sponge.The infection and swelling of puncture site 72 h after extubation,fluid seepage 24 h after extubation,wound dressing change frequency 72 h after extubation,and health economics indexes were observed.Results 72 h after extubation,the incidence of puncture site infection in experimental group was lower than that in control group,and the redness area of puncture sitein experimental group was smaller than that in control group,the differences were statistically significant(P＜0.05).The fluid seepage in experimental group was less than that in control group 24 h after extubation,and the difference was statistically significant(P＜0.05).The frequency of dressing change 72 h after extubation in experimental group was less than that in control group,and the difference was statistically significant(P＜0.05).The dressing cost of experimental group was higher than that of control group,and the treatment cost of puncture site infection and skin swelling was lower than that of control group,and the differences were statistically significant(P＜0.05).There was no significant difference in total cost between two groups(P＞0.05).Conclusion CHG antibacterial transparent dressing combined with absorbable gelatin sponge can reduce the seepage,infection and redness of the puncture point after extubation of abdominal cavity in patients with cancer ascites,reduce the frequency of dressing change,and the health and economic benefits are equivalent to that of common dressing combined with absorbable gelatin sponge.
万方数据
维普
