防粘连膜预防腹腔术后肠粘连形成的临床研究  

The clinical study on anti-adhesion membrane preventing formation of abdominal postoperative intestinal adhesion

作　　者：杨红江[1] 吕银祥[1] 刘纪炎[1] 王方平[1] 严富国[1] 周晓峰[1] 

机构地区：[1]浙江省新昌县人民医院普通外科,浙江新昌312500

出　　处：《中国现代医生》2014年第36期113-115,共3页China Modern Doctor

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.10141)

摘　　要：目的观察"百菲米"防粘连膜预防腹腔术后肠粘连形成的效果。方法将620例行剖腹术患者随机分为实验组和对照组,各310例;实验组关腹前于腹膜切口后置入"百菲米",对照组按常规方法关腹。结果实验组和对照组术后分别有7例、43例出现肠粘连症状,分别有2例、16例并发粘连性肠梗阻,组间比较差异均有统计学意义(P<0.05);实验组术后肛门最早排气时间早于对照组;两组均未出现吻合口瘘、过敏及毒副反应,切口甲级愈合率差异无统计学意义(P>0.05)。结论 "百菲米"防粘连膜可减少术后肠粘连的形成。Objective To study the effects of anti-adhesion membranes named BAI FEI MI on preventing formation of abdominal postoperative intestinal adhesion. Methods A total of 620 cases with undergoing open surgery were randomly divided into the experimental group and control group, 310 cases in each group. The patients were sutured abdominal incisions according to the conventional method in control group, while in the experimental group, the patients were placed anti-adhesion membranes behind peritoneal incision before the suture of abdominal incisions. Results The ex- perimental group and control group in patients with the symptoms of postoperative intestinal adhesion were respectively 7 cases and 43 cases, and with intestinal obstruction were respectively 2 cases and 16 cases, there were statistical sig- nificant differences between two groups（P〈0.05）. The postoperative anal exhaust time of the experimental group was ear- lier than that of the control group. There were no anastomotic fistulas, allergies and adverse reactions, the Class-A healing rate of incision showed no statistical significant differences in both groups （P〉0.05）. Conclusion The anti-ad- hesion membranes named BAI FEI MI on preventing formation of abdominal postoperative intestinal adhesion has a good effect.

关 键 词：防粘连膜 几丁糖 肠粘连 预防 

分 类 号：R656[医药卫生—外科学]