负压引流预防心外科切口脂肪液化的临床研究  

Clinical study of vacuum suction for prevention of fat liquefaction in cardiac surgery incision

作　　者：毛龙 肖宗位 谢飞 马辰 高柯 李源 程涵 王晓玮 刘先 MAO Long;XIAO Zong-wei;XIE Fei;MA Chen;GAO Ke;LI Yuan;CHENG Han;WANG Xiao-wei;LIU Xian(Department of Cardiothoracic Surgery,Chengdu Second People's Hospital (Indirectly Affiliated Hospital to Zunyi Medical University),Zunyi 563000,Guizhou,CHINA)

机构地区：[1]遵义医学院非直属附属成都市第二人民医院胸心外科,贵州遵义563000

出　　处：《海南医学》2019年第6期779-781,共3页Hainan Medical Journal

摘　　要：目的研究心脏外科Ⅰ类切口皮下放置负压引流管对预防切口脂肪液化的可行性及有效性。方法选取2017年1月至2018年4月成都市第二人民医院胸心外科收治的60例经胸部正中Ⅰ类切口手术患者为研究对象,采用掷硬币的方法将研究对象随机分成术后在切口皮下安置负压引流管的负压组32例和术后未在切口皮下安置负压引流管的对照组28例,比较两组患者的主动脉阻断时间、体外循环时间、切口脂肪液化、术后住院时间等临床资料。结果负压组患者主动脉阻断时间为(106.16±43.92) h,与对照组患者的(109.32±38.27) h比较差异无统计学意义(P>0.05);负压组患者体外循环时间为(162.59±49.55) h,与对照组患者的(171.75±48.82) h比较差异无统计学意义(P>0.05);负压组患者术后住院时间为(12.00±4.78) d,明显少于对照组的(22.50±9.95) d,差异具有统计学意义(P<0.05);负压组32例患者中有2例发生脂肪液化,脂肪液化率为6.2%,对照组28例患者中有8例发生脂肪液化,脂肪液化率为28.6%,负压组明显低于对照组,差异具有统计学意义(P<0.05)。结论心脏外科Ⅰ类切口皮下放置负压引流管可有效降低切口脂肪液化率和术后住院时间。Objective To study the feasibility and effectiveness of subcutaneous placement of vacuum suction tube under the type Ⅰ incision in cardiac surgery for prevention of fat liquefaction in incision. Methods A total of 60 patients who underwent cardiac surgery with type Ⅰ incision in the Department of Cardiothoracic Surgery at the Chengdu Second People’s Hospital from January 2017 to April 2018 were selected as subjects. Using the method of coin tossing, all patients were randomly divided into negative pressure group with vacuum suction tube placed under the skin of the incision(32 cases) and control group without vacuum suction tube placed under the incision(28 cases). The clinical data of the two groups were compared, including aortic occlusion time, extracorporeal circulation time, incision fat liquefaction rate, postoperative hospitalization time and other data. Results The aortic occlusion time of patients in the negative pressure group was(106.16±43.92) hours, as compared with(109.32±38.27) hours in the control group(P>0.05).The extracorporeal circulation time of patients in the negative pressure group was(162.59±49.55) hours, compared with(171.75±48.82) hours in the control group(P>0.05). The postoperative hospitalization time of patients was(12.00±4.78)days in the negative pressure group, which was significantly less than(22.50±9.95) days in the control group(P<0.05).In the negative pressure group, 2 of the 32 patients developed fat liquefaction, and the fat liquefaction rate was 6.2%;and8 of the 28 patients in the control group developed fat liquefaction, and the fat liquefaction rate was 28.6%;the rate in the negative pressure group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Subcutaneous placement of a vacuum suction tube under the type Ⅰ incision in a cardiac surgery can effectively reduce the fat liquefaction rate in incision and postoperative hospitalization time.

关 键 词：心脏外科 切口皮下 负压引流管 脂肪液化 可行性 

分 类 号：R654.2[医药卫生—外科学]