硅橡胶负压吸引球在急腹症Ⅲ类切口的临床应用  

Clinical application of silicone rubber negative pressure suction ball in Type Ⅲ wounds in emergency laparotomy

作　　者：伊涛 曹荣格 YI Tao;CAO Rongge(Department of Emergency Surgery,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Anhui,Hefei 230001,China)

机构地区：[1]中国科技大学附属第一医院(安徽省立医院)急诊外科

出　　处：《临床外科杂志》2019年第10期882-885,共4页Journal of Clinical Surgery

摘　　要：目的分析硅橡胶负压吸引球在急腹症Ⅲ类切口中的临床应用。方法2016年11月~2018年6月于本院手术的急腹症病人106例,随机分为两组,对照组52例,术后常规关腹,逐层缝合;观察组54例,病人皮下放置硅橡胶负压吸引球,观察两组病人术后切口感染、住院时间、平均换药次数及术后切口疼痛情况。结果观察组和对照组切口愈合率分别为90.7%和71.2%,住院时间分别为(10.49±2.10)天和(16.26±5.48)天,平均换药次数分别为(3.62±1.72)次和(8.23±4.99)次,术后切口疼痛分别为(3.79±0.88)分和(5.20±1.25)分,差异有统计学意义(P<0.05)。结论使用硅橡胶负压吸引球可降低急腹症Ⅲ类切口的感染率,提高切口一期愈合率,缩短住院时间,减少换药次数,减轻术后切口疼痛。Objective To investigate the efficacy of the clinical application of silicone rubber negative pressure suction ball used in TypeⅢwounds in emergency laparotomy.Methods A total of 106 patients with in the infected laparotomy wounds,were treated with wound suture.The patients were radomly divided into observation group and control group,54 cases in observation group,52 cases in control group.The silicone rubber negative pressure suction balls were used in observation group,while the control group underwent conventional abdomen closure.Postoperative wound infection healing was observed in two groups of patients.Results The observation group had higher primary healing rate than in the control group,There were significant differences between the two groups,in the primary healing rate(90.7%,71.2%),the hospital stays of observation group and control group were(10.49±2.10)d and(16.26±5.48)d,respectively;the time of dressing change(3.62±1.72)and(8.23±4.99),respectively,and the postoperative incision pain(3.79±0.88)and(5.20±1.25),respectively(P<0.05).Conclusion The silicone rubber negative pressure suction ball used in the infected laparotomy wounds can effectivly reduce the incidence of postoperative infection,the effct is significant.

关 键 词：急腹症 负压吸引球 Ⅲ类切口 术后感染 切口缝合 

分 类 号：R47[医药卫生—护理学]