透明敷料在自发性气胸术后引流口闭合治疗中的效果评价  

Effectiveness evaluation of Tegaderm in occlusion treatment of postoperative drainage site wound of SP operation

作　　者：张敏 王泽学[1] 梁磊[1] 周志明[1] ZHANG Min;WANG Ze-xue;LIANG Lei(Department of Thoracic Surgery,The Affiliated Center Hospital of Shenyang Medical College,Shenyang 110024,China)

机构地区：[1]沈阳医学院附属中心医院胸外科,辽宁沈阳110024

出　　处：《中国医学装备》2021年第1期94-97,共4页China Medical Equipment

基　　金：沈阳医学院青年科学研究基金(20202027)“一次性胸腔闭式引流管内芯在早期积留性血胸治疗中的应用”。

摘　　要：目的:评价缝合与非缝合方式闭合引流口在胸腔镜治疗自发性气胸术后的应用效果,以寻求更安全便捷的封闭胸腔闭式引流口的方法。方法:选取在医院就诊且行胸腔镜下肺大疱切除术的56例患者的临床资料,按引流管拔除后引流口封闭方式不同分为缝合组(26例)和非缝合组(30例),缝合组拔管同时局麻下缝合引流口,非缝合组拔管后用3M透明敷料封闭引流口。比较两组患者拔管后的并发症发生率、拔管后不同时间疼痛数字评分法(NRS)评分、术后住院时间、住院费用等。结果:缝合组和非缝合组患者拔管后的并发症发生率分别为11.54%和13.33%,差异无统计学意义,非缝合组拔管当时,拔管后1 d、2 d及3 d的NRS评分低于缝合组(t=7.47,t=5.92,t=5.14,t=4.54;P<0.05),拔管后4 d的NRS差异无统计学意义。非缝合组比缝合组术后住院时间短(t=2.04,P<0.05),非缝合组患者住院费用略低于缝合组,但差异无统计学意义。结论:相比于拔管后缝合引流口,使用非缝合方式封闭引流口的效果更优,有助于减轻患者痛苦,缩短患者住院时间,值得临床推广。Objective:To evaluate the application effect of occlusion drainage site wound of suture mode and non-suture mode in treating spontaneous pneumothorax(SP)by video-assisted thoracoscopic surgery(VATs)so as to explore a new kind of more safe and convenient mean to close thoracic close drainage site.Methods:The clinical data of 56 patients who admitted to hospital and underwent pulmonary bulla resection under VATs were selected.They were divided into suture group(26 cases)and non-suture group(30cases)according to the different close mode of drainage site wound after drainage tube was removed.Suture group sutured drainage site wound under condition of local anesthesia when drainage tube was removed,and non-suture group adopted 3M Tegaderm to close drainage site wound after drainage tube was removed.The incidence of complications,the score of numeric rating scale(NRS)of pain in different time after tube was removed,postoperative hospital stays and hospitalization cost of two groups were compared.Results:The incidences of the complication of suture group and non-suture group were 11.54%and 13.33%after tubes were removed,respectively.And the difference of that between the two groups was no significant.The NRS pain scores of non-suture group at the time of removing tube,and that at the 1th day,second day and the third day after the tube was removed were significantly lower than those of suture group(t=7.47,t=5.92,t=5.14,t=4.54,P<0.05),respectively.And the difference of NRS score after the tube was removed between the two groups was no significant(t=2.04,P<0.05).The hospitalization cost of non-suture group was slightly lower than that of suture group but the difference of that between the two groups was no significant.Conclusion:Compared with the suture of drainage site wound after tube is removed,the effect of nonsuture mode is better in closing drainage site wound,which can contribute to reduce the pain of patients,and shorten the hospital stay of patients.It is worthy to be promoted in clinical work.

关 键 词：自发性气胸 胸腔镜手术 透明敷料 效果评价 

分 类 号：R655[医药卫生—外科学]