不同护理方法对中国商环包皮环切术后患者切口愈合的影响  

Effect of different wound coping method on circumcision healing for patients with Chinese Shang ring circumcision

作　　者：罗春华[1] 杜合英[3] 方立[2] 苏新军[1] 胡勤波[2] 汪云颖 程跃[2] 

机构地区：[1]武汉大学中南医院泌尿外科,武汉430071 [2]宁波大学医学院附属宁波市第一医院浙江大学宁波医院泌尿外科,315000 [3]中山大学附属第一医院东山院区护理部,广州510080

出　　处：《中华现代护理杂志》2015年第11期1341-1343,共3页Chinese Journal of Modern Nursing

摘　　要：目的比较不同护理方法在成年男性中国商环包皮环切术后切口愈合护理中应用效果的区别。方法选择行中国商环包皮环切术成年男性患者144例，采用掷硬币的方式随机分为包扎组和免包扎两组，包扎组患者采用专用包皮贴包扎切口，每周换药3次；免包扎组为暴露手术切口，嘱患者保持切口干燥。术后随访2个月，比较两组术后包皮水肿、切口感染、切口裂开比例、术后疼痛、术后切口愈合时间、术后外观满意度等指标之间差异。结果免包扎组患者术后2周内清晨勃起疼痛程度均较包扎组减轻，差异均有统计学意义（P〈0．05）。免包扎组切口愈合时间为（25．9±47）d，短于包扎组的（27．8±5．O）d，差异有统计学意义（P〈0．05）。两组患者的术后切口水肿、切口裂开、切口感染和术后外观满意度方面差异无统计学意义（P〉0．05）。结论中国商环包皮环切术后采用暴露切口，保持干燥的方法，能减轻患者术后疼痛程度，缩短术后愈合时间，值得推广应用。Objective To compare different nursing methods impacting on the wound healing effects of circumcision for patients with Chinese Shang ring circumcision. Methods A total of 144 male patients with Chinese Shang ring circumcision were randomly divided into A and B group by coin tossing. The patients of A group received circumcised dressing to wrap wound with dressing change 3 times/week; the patients of B group had no dressing for wound to exposure wound and keep wound dry. Followed interviewed 2 months after operation, we compared the incision edema, the infection, rate of incision rupture, postoperative pain, wound healing time, satisfaction of incision appearance and so other indexes between two groups. Results The patients in the group B suffered less pain when erected in 2 weeks after operation （ P 〈 0. 05 ）. The length of healing time in B group was （25.9 ± 4.7） d, shorter than （27. 8 ± 5.0） d in the group A （ P 〈 0. 05 ）. The postoperative incision edema, incision rupture, infection and satisfaction of incision appearance were no statistical significance between two groups （P 〉 0. 05）. Conclusions To exposure the incision and keep it dry after Chinese Shang ring circumcision can minimize the level of pain and length of wound healing, and is worthy to promote.

关 键 词：包皮环切术 男性 切口愈合 切口包扎 

分 类 号：R473.6[医药卫生—护理学]