自制皮下负压引流装置对腹腔术后控制感染的临床研究  

Clinical effect of homemade subcutaneous negative pressure drainage device placed in incision of infectious abdominal surgery

作　　者：任柯[1] 刘清泉[2] 张东坡[2] 杨亚鹏[2] 吴刚[1] 孙培春[1] REN Ke;LIU Qing-quan;ZHANG Dong-po;YANG Ya-peng;WU Gang;SUN Pei-chun(Henan province people＇s hospital, Zhengzhou, Henan 450003, China)

机构地区：[1]河南省人民医院胃肠外科,河南郑州450003 [2]漯河市中心医院普外二科,河南漯河462000

出　　处：《中华医院感染学杂志》2018年第9期1394-1397,共4页Chinese Journal of Nosocomiology

基　　金：河南省自然科学基金资助项目(162300410292)

摘　　要：目的探讨腹腔术后切口放置自制皮下负压引流装置的应用效果。方法选取医院2016年1月-2017年1月行腹部手术切口愈合不良高危因素患者104例,按随机数字表法分为两组,对照组52例患者,使用普通引流管,试验组52例患者,使用自制皮下负压引流装置,比较两组患者的治疗效果、平均换药次数、平均拆线时间、切口愈合时间及住院时间等指标,比较两组患者术后1~4d引流量,对两组患者术后脂肪液化、切口裂开、切口感染等并发症发生情况进行统计。结果与对照组比较,试验组平均换药次数减少、平均拆线、切口愈合及住院时间均缩短(P<0.05);试验组术后第2~4天引流量均低于对照组(P<0.05);试验组治疗总有效率高于对照组(P<0.05);两组患者术后均有并发症发生。结论在感染性腹腔手术切口防治中,使用自制皮下负压引流装置,不仅可取得良好效果,同时降低术后并发症发生率。OBJECTIVE To explore the effect of homemade subcutaneous negative pressure drainage device placed in incision of infectious abdominal surgery.METHODS A total of 104 patients who received the abdominal surgery and had high risk factors for poor incision healing from Jan 2016 to Jan 2017 were enrolled in the study and randomly divided into two groups,the control group with 52 cases was treated with common drainage tube,while the experimental group with 52 cases was treated with homemade subcutaneous negative pressure drainage device.The therapeutic effect,mean dressing change times,mean stitches removal time,incision healing time and length of hospital stay were observed and compared between the two groups of patients,the drainage volume was compared between the two groups of patients in 1-4 days after the surgery,and the incidence rates of postoperative complications such as fat liquefaction,incision dehiscence and incision infection were statistically analyzed.RESULTS The mean dressing change times of the experimental group were less than those of the control group,the mean stitches removal time of the experimental group was significantly shorter than that of the control group,and the incision healing time and length of hospital stay were significantly shorter in the experimental group than in the control group（P〈0.05）.The drainage volume of the experimental group was significantly less than that of the control group in 2-4 after the surgery（P〈0.05）.The total effective rate of treatment of the experimental group was significantly higher than that of the control group（P〈0.05）.The incidence of postoperative complications of the experimental group was 9.62%,significantly lower than 28.85% of the control group（P〈0.05）.CONCLUSION The homemade subcutaneous negative pressure drainage device placed in incision of infectious abdominal surgery can not only achieve remarkable effect but also reduce the incidence of postoperative complications.

关 键 词：感染性 腹腔手术切口 自制皮下负压引流装置 

分 类 号：R619[医药卫生—外科学]