甘露聚糖肽注射对乳腺手术切口感染的预防效果及免疫学指标的临床影响研究

Clinical influence of prevention effect and immunological indexes of mannatide injection on breast surgery incision infections

  • 摘要: 目的 探讨甘露聚糖肽注射对乳腺手术切口感染的预防效果及免疫学指标的临床实际影响,为乳腺手术切口感染的临床预防提供参考借鉴。方法 选取2015年1 -8月医院收治的乳腺手术患者132例,根据治疗方法分成研究组和对照组各66例,研究组均于术前1 h给予甘露聚糖肽注射液10 mg/d,溶于生理盐水中静脉滴注,至术后一周,对照组仅给予相同剂量的生理盐水,观察和比较两组患者切口感染发生率、CD3+、CD4+、CD4+/CD8+、NK等细胞免疫指标和补体C3、C4等免疫功能指标以及住院时间和住院费用。结果 研究组切口感染率为0.00%,低于对照组患者6.06%;手术后研究组患者CD3+、CD4+、CD4+/CD8+、NK分别为(81.34±9.34)%、(50.42±7.43)%、(1.92±0.84)%、(27.34±9.11)%,高于对照组(66.32±9.51)%、(41.90±5.43)%、(1.43±0.76)%、(19.34±7.43)%;手术后研究组患者补体C3、C4水平分别为(1.05±0.46)g/L、(0.50±0.22)g/L,高于对照组(0.91±0.21)g/L、(0.38±0.15)g/L,且差异有统计学意义(P<0.05)。结论 对乳腺手术患者实施治疗过程中,给予甘露聚糖肽注射液治疗可有效预防患者术后切口感染,提升患者机体的免疫水平,缩短住院时间和节省治疗费用。

     

    Abstract: OBJECTIVE To investigate the clinical influence of prevention effect and immunological parameters of mannatide injection on breast surgery incision infections, so as to provide references for clinical prevention of breast surgery incision infections. METHODS A total of 132 patients of breast surgery admitted to the hospital from Jan. 2015 to Aug. 2015 were chosen. According to the treatment methods, they were divided into study group (with mannatide injection) and control group (normal saline), with 66 cases in each group. In study group, mannatide injection was administered by intravenous infusion in physiological saline at a dose of 10 mg / day from 1 h before the surgery to 1 week after the surgery, and patients in control group were received only the same dose of normal saline. The incision infection rate, immunological indexes of CD3+, CD4+, CD4+/CD8+, and NK, and immune function indexes complements C3 and C4, as well as hospital stay and hospitalization expenses were observed and compared between the two groups. RESULTS The incision infection rate of study group was 0.00%, which was lower than 6.06% of control group. The CD3+, CD4+, CD4+/CD8+, and NK of study group were (81.34±9.34)%, (50.42±7.43)%, (1.92±0.84)% and (27.34±9.11)% after surgery, which were higher than those of control group of (66.32±9.51)%, (41.90±5.43)%, (1.43±0.76)%, and (19.34±7.43)%. The C3 and C4 levels after surgery in study group were (1.05±0.46) g/L and (0.50±0.22)g/L, which were higher than those of control group of (0.91±0.21) g/L and (0.38±0.15) g/L, and the differences were with significant (P<0.05). CONCLUSION In the clinical practice for the treatment of patients with breast surgery, the mannatide injection can effectively prevent postoperative infection in patients, improve the body's immunity levels in patients, shorter hospital stays and save the cost of treatment.

     

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