小儿脐疝贴治疗脐疝的临床研究  

Clinical study of a non-magnetic umbilical hernia curing tape in the treatment of umbilical hernia

作　　者：俞钢[1] 刘千里[1] 洪淳[1] 刘翠芬[1] 

机构地区：[1]广东省妇幼保健院小儿胸外科,广州511442

出　　处：《国际医药卫生导报》2016年第9期1220-1223,共4页International Medicine and Health Guidance News

摘　　要：目的分析一种无磁小儿脐疝贴对小儿脐疝愈合的促进作用。方法选择200例接受封脐治疗的脐疝患儿随机分为四组，分别使用不同的封脐方法。组1宽胶布机械压迫，每4天一换；组2使用永磁敷料贴，每4天一换；组3使用无磁小儿脐疝贴，每4天一换；组4使用无磁小儿脐疝贴，每2天一换。另取同期就诊但未接受封脐治疗的50例作空白对照（组5）。观察并记录五组患儿脐疝的不同时间闭合情况，使用SPSS20．0软件统计分析相关数据。结果封脐8天后脐孔闭合进度在四个治疗组之间无统计学差异，且四个治疗组的数值均显著大于组5；16天闭合进度、32天闭合进度、32天愈合率、6个月内随访愈合率在组2与组3之间无统计学差异，组2与组3的数值均显著大于组5而小于组4。结论 小儿脐疝贴能明显缩短脐疝的愈合时间，并且，调整位置进行减张的频率越高，愈合时间越短。Objective To analyze the promoting effect of a non-magnetic tape in healing infantile umbilical hemia. Methods 200 patients with umbilical hernia who underwent the treatment of umbilical sealing were randomly divided into four groups, using different methods. Group 1 used a wide surgical tape to seal umbilicus and renewed it every 4 days. Group 2 used a permanent magnetic tape and renewed it every 4 days. Group 3 used a non-magnetic tape and renewed it every 4 days. Group 4 used the same non-magnetic tape as group 3 but renewed it every 2 days. Another 50 patients who did not receive umbilical sealing or other treatments were set as blank control （group 5）. We observed and recorded healing progress of five groups and processed data with SPSS20.0 statistical analysis software. Results There was no statistically significant difference in healing progress among four treatment groups after 8 days, and the value of four treatment groups were significantly higher than that of group 5. There were no statistically significant differences in healing progress on 16th, 32nd day, the healing rate of 32 days, 6 months＇follow-up between group 2 and group 3, those of group 2 and group 3 were significantly higher than those of group 5 but lower than those of group 4. Conclusion A non-magnetic umbilical hernia curing tape can obviously shorten the healing time of umbilical hernia. Moreover, the higher frequency to adjust the position for decompression, the shorter healing time is.

关 键 词：脐疝贴 脐环 机械牵拉 减张 

分 类 号：R735[医药卫生—肿瘤]