Histoacryl组织胶水粘合起搏器伤口疗效及费用分析  

The adhesion of pacemaker skin wounds with Histoacryl tissue adhesive: an analysis of its efficacy and cost

作　　者：周勇[1] 姜海滨[1] 秦永文[1] 陈少萍[1] 

机构地区：[1]上海第二军医大学长海医院心内科,200433

出　　处：《介入放射学杂志》2011年第8期655-656,共2页Journal of Interventional Radiology

摘　　要：目的应用Histoacryl组织胶水粘合起搏器伤口的疗效评价及费用分析。方法选取2010年4月至10月在我院植入心脏永久起搏器患者,共112例,根据皮肤伤口有无使用Histoacryl组织胶水,分成两组,组织胶水组64例,传统缝合组48例,比较两组间的伤口愈合、术后住院天数及住院费用情况。结果两组临床基础情况基本一致,两组病例伤口均能达到甲级愈合,组织胶水组术后住院天数(4.4±1.4)d,传统缝合组术后平均住院天数(6.2±1.3)d,两者相比差异有统计学意义(P<0.01);剔除起搏器器械费用、手术费用及DSA费用,组织胶水组费用平均(4 383.39±792.40)元,传统缝合组费用(4 199.81±1 059.93)元,两者相比差异无统计学意义(P=0.651)。结论使用Histoacryl组织胶水粘合起搏器伤口,疗效确切,与传统缝合组相比,可以使住院天数减少,且住院费用没有明显差别。Objective To evaluate the clinical efficacy and cost of Histoacryl tissue adhesive in adhering the pacemaker skin wounds. Methods During the period from April 2010 to October 2010, permanent cardiac pacemaker implantation was performed in 112 patients in authors＂ hospital. The patients were divided into tissue adhesive group （n = 64） and conventional suture group （n = 48）. Histoacryl tissue adhesive was employed in patients of tissue adhesive group. The extent of wound healing, the post-procedure hospitalization days and the hospitalization cost were recorded, and the results were compared between the two groups. Results The clinical baselines of the two groups were compatible with each other. Primary closure of wounds was achieved in all patients of two groups. The mean post-procedure hospitalization time in tissue adhesive group and in conventional suture group was （4.4 ± 1.4） days and （6.2 ± 1.3） days respectively, the difference between the two groups was statistically significant （P 〈 0.01）. If the costs of pacemaker equipment, surgery and DSA were not included, the mean medical expenses in tissue adhesive group and in conventional suture group were （4 383.39 ±792.40） and （4 199.81 ± 1059.93） Chinese yuan respectively, and no significant difference in medical expenses existed between the two groups （P = 0.651）. Conclusion Histoacryl tissue adhesive can effectively adhere pacemaker wounds tissue. Compared to the use of conventional suture, the use of Histoacryl tissue adhesive can reduce the post-procedure hospitalization days although the medical expenses are quite the same as that using conventional suture treatment.

关 键 词：心脏永久起搏器 伤口愈合 组织胶 住院天数 费用分析 

分 类 号：R541.7[医药卫生—心血管疾病]