后路腰椎内固定术后两种不同引流方法效果对比研究  

Comparative study for the effect between two drainage methods after posterior lumbar spine instrumentation

作　　者：冯岚[1] 杨晓燕[1] 凌瑞[1] 李育娜 符小箐[1] 易鸿玲 张星星[1] 

机构地区：[1]南方医科大学南方医院脊柱骨科,广东广州510515

出　　处：《护士进修杂志》2015年第6期483-485,共3页Journal of Nurses Training

摘　　要：目的比较后路腰椎内固定手术后两种不同引流方法的效果,为规范腰椎疾患术后引流技术提供客观依据。方法将2013年1-12月行后路腰椎间盘摘除、椎间植骨融合内固定术后患者62例术后引流方式随机分为主动引流(负压)和被动引流(无负压)两组。均采用后路腰椎间盘突出摘除、椎间植骨融合内固定术。麻醉方式为全麻,手术部位放置一条引流管,术后常规应用止血药物1d,观察两组病例伤口引流效果及愈合情况。结果两组病例在一般资料(年龄、体重、诊断、手术节段)方面经统计学分析,P>0.05,差异无统计学意义。在手术时间、术中出血量、术后引流量、拔除引流管时间、拆线时间、住院天数方面经统计学分析,P>0.05,差异无统计学意义。术后体温变化曲线两组呈现同一趋势,伤口均为甲级愈合。结论两种引流方法的引流效果相同,对伤口愈合无影响。采取被动引流方法,可有效减轻护理人员的工作量。Objective To compare the effect between two drainage methods after posterior lumbar spine instrumentation,and to provide objective basis for standardizing the drainage procedure after lumbar spine instrumentation.Method 62 patients who received lumbar discectomy,interbody fusion and internal fixation from January to December 2013 were randomly divided into two groups according to their drainage methods after operation.Patients in active drainage group received active drainage（with negative pressure）,and patients in other group was received passive drainage（without negative pressure）.All patients were performed with general anesthesia.One drainage catheter was placed within the wound.Hemostatics were used one day after operation routinely.Wound drainage volume and healing process were observed for two groups.Result There was no significant difference in general conditions between two groups（including age,body weight,diagnosis,surgical level,P0.05）.Statistical analysis showed that drainage volume after operation,time for drawing drainage catheter,time for taking out the stitches,and hospitalization day had no statistical significance（P0.05）.The temperature curves of two groups after operation were consistent.All wounds healed as grade A.Conclusion The drainage effectiveness for two methods is similar and has no influence on wound healing.And passive drainage method can effectively reduce the workload of nursing personnel.

关 键 词：腰椎 手术 引流术 护理 

分 类 号：R472.3[医药卫生—护理学] R681.58[医药卫生—临床医学]