复方黄柏液在一次性包皮切割缝合器术后脱钉的应用  

Effect of compound prescription cortex phellodendri chinensis fluid on postoperative wound anastomosis nail loss in patients with circumcision by disposable circumcision suture device

作　　者：刘磊[1] 景治安[1] 刘彦军[1] 李纪华[1] 冯占启[1] 胡和平[1] 

机构地区：[1]郑州市第一人民医院泌尿外科,河南郑州450004

出　　处：《中国生化药物杂志》2015年第9期88-90,共3页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的探讨一次性包皮环切缝合器行包皮环切手术不能完全脱钉的原因和应对方法,进一步提高包皮环切手术的质量。方法收集2014年9月-2015年3月于郑州市第一人民医院使用一次性包皮环切缝合器行包皮环切手术182例,随机分为对照组（n=86）和治疗组（n=96）。所有患者均常规给予口服抗生素3 d,对照组术后给予0.1%碘伏消毒,2-3 d换药;治疗组使用复方黄柏液每次30-40 m L,每天2次15 min局部浸泡。对2组患者行术后回访,观察首次脱钉天数及完全脱钉天数。结果复方黄柏液浸泡与0.1%碘伏消毒处理相比较,明显缩短完全脱钉天数（P〈0.05）,但2组在术后首次脱钉时间上比较差异无统计学意义。治疗组完全脱钉率为94例（97.9%）,显著高于对照组的68例（79.1%）（χ2=16.47,P〈0.05）。2组的不良反应均较轻微。结论复方黄柏液在包皮环切缝合器术后的脱钉及术后恢复中有明显的效果。Objective To discuss cause and treatment measures of the postoperative failed to fully automatic nail in patients with circumcision by disposable circumcision suture device,so as to improve the quality of the circumcision. Methods 182 cases received circumcision by disposable circumcision suture device were randomly selected from September 2014 to March 2015 in the hospital and divided into control group（ n = 86） and treatment group（ n = 96）. All the patients received oral antibiotics for three days conventionally. Patients in control group were dressing with 0. 1% iodine after treatment,dressing change every two or three days,while the treatment group soaking with 30 m L to 40 m L compound prescription cortex phellodendri chinensis fluid for 15 min two times per day. The postoperative wound anastomosis nail loss effect in two groups were compared. Results The time of complete nail loss in patients soaking with compound prescription cortex phellodendri chinensis fluid was significantly shorter than that in patients dressing with 0. 1% iodine（ P〈0. 05）,but there was no significantly difference of the first time to lose nail between two groups. The rate of complete nail loss in treatment group was 94 cases（ 97. 9%）,which was significantly higher than 68 cases（ 79. 1%） in control group（ χ2= 16. 47,P〈0. 05）.The adverse reactions were mild of two groups. Conclusion The compound prescription cortex phellodendri chinensis fluid has exact effect on postoperative wound anastomosis nail loss and recovery in patients＇ with circumcision by disposable circumcision suture device.

关 键 词：一次性包皮环切缝合器 包皮环切 复方黄柏液 

分 类 号：R699.8[医药卫生—泌尿科学]