四肢伤口应用医用胶与传统缝合技术疗效对比研究  

Comparison of curative effect between medical glue and traditional suture technique in limb wound

作　　者：邱岭 高占鳌 屈继宁 陈兴庆 贾晓龙[1] 周文[1] 师寅 张欣[3] Qiu Ling;Gao Zhanao;Qu Jining(Xi＇an No.1 Hospital,Xi＇an 710002)

机构地区：[1]西安市第一医院,西安710002 [2]西安市红会医院,西安710054 [3]西安交通大学第二附属医院,西安710004

出　　处：《陕西医学杂志》2018年第11期1445-1447,共3页Shaanxi Medical Journal

基　　金：陕西省社会发展科技攻关项目(2015SF056)

摘　　要：目的:观察四肢伤口应用医用胶与传统缝合技术的疗效差异。方法:入选患者162例,随机归入胶合组(85例)或缝合组(77例)。通过比较两组的手术时间、伤口愈合情况、疼痛评分、治疗满意度等来评价技术优劣。结果:两组的手术时间相比较,胶合组用时少于缝合组病例,差异有统计学意义(P<0.05);两组伤口愈合情况比较,差异无统计学意义(P>0.05);手术疼痛评分方面,胶合组明显低于缝合组,两组比较差异有统计学意义(P<0.05);治疗总体满意度方面,两组比较差异无统计学意义(P>0.05);两组在瘢痕满意度上,胶合组优于缝合组,差异有统计学意义(P<0.05)。结论:与传统缝合相比四肢伤口应用医用胶技术可获得良好疗效,但术前应掌握好适应证,规范术中操作技术,做好术后处理。ObjectiveTo observe the difference of curative effect between medical glue and traditional suture technique in limb wound. Methods： 162 patients were selected and randomly assigned to the gluing group （85 cases） or suture group （77 cases）.The technique was evaluated by measuring and comparing the operation time, wound healing, pain score and treatment satisfaction of the two groups. Results： Compared with the operation time of the two groups, the adhesive group took less time than the suture group, and the difference was statistically significant（ P 〈0.05）. There was no statistically significant difference in wound healing between the two groups（ P 〉0.05）. In terms of pain score, the adhesive group was significantly lower than the suture group, and the difference was statistically significant（ P 〈0.05）. There was no statistically significant difference between the two groups in overall satisfaction（ P 〉0.05）; In terms of scar satisfaction, the adhesive group was superior to the suture group, and the difference was statistically significant（ P 〈0.05）. Conclusion： The application of medical glue technology in limb wound can obtain good curative effect.

关 键 词：四肢 外科伤口 缝合技术 @医用胶 

分 类 号：R641[医药卫生—外科学]