吸收性明胶海绵在5至12岁儿童包皮环切术中的应用  

Application of absorbable gelatin sponge in pediatric circumcision aged 5 to 12 years

作　　者：王妮 张家瑜 崔应东 杨超 WANG Ni;ZHANG Jiayu;CUI Yingdong;YANG Chao(Department of Urology,the National Hospital of Enshi Tujia and Miao Autonomous Prefecture,Hubei Province,Enshi 445000,China;Department of Outpatient,the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Hubei Province,Enshi 445000,China)

机构地区：[1]恩施土家族苗族自治州民族医院泌尿男科,湖北恩施445000 [2]恩施土家族苗族自治州中心医院门诊部,湖北恩施445000

出　　处：《中国医药导报》2022年第27期68-71,87,共5页China Medical Herald

基　　金：湖北省卫生计生委中医药科研面上项目(ZY2019M077)。

摘　　要：目的探讨吸收性明胶海绵在5至12岁儿童包皮环切术中的应用效果。方法选择2020年5月至8月恩施土家族苗族自治州民族医院泌尿男科门诊120例患儿,按照随机数字表法将其分为两组,每组60例。观察组术后切口用吸收性明胶海绵+自粘绷带包扎覆盖,对照组术后切口用普通纱布+自粘绷带包扎覆盖,比较两组手术时间、术中出血量、患儿术后第3天去除敷料难易程度、去除敷料时视觉模拟评分法(VAS)评分、去除敷料后切口渗血、创口水肿时间、钛钉完全脱落时间、完全愈合时间、患儿家属满意度以及并发症情况。结果两组手术时间、手术中出血量、钛钉完全脱落时间、完全愈合时间比较,差异无统计学意义(P>0.05)。与对照组比较,观察组术后第3天去除敷料更容易,观察组去除敷料时VAS评分、去除敷料后切口渗血率均降低,差异有统计学意义(P<0.05)。观察组术后创口水肿时间短于对照组,差异有统计学意义(P<0.05);观察组术后满意度高于对照组,差异有统计学意义(P<0.05)。两组患儿术后并发症发生例数比较,差异无统计学意义(P>0.05)。结论吸收性明胶海绵能够极大地减轻儿童包皮环切术后换药疼痛,换药时更容易去除敷料,减少换药时因粘连而引起的切口撕裂渗血,增加患儿家属满意度,值得临床推广。Objective To investigate the application effect of absorbable gelatin sponge in pediatric circumcision aged 5 to 12 years.Methods From May to August 2020,a total of 120 children who from the urology clinic of the National Hospital of Enshi Tujia and Miao Autonomous Prefecture were selected and divided into two groups according to the random number table method,with 60 cases in each group.The incision in observation group was covered with absorbent gelatin sponge and self-adhesive bandage,while the incision in the control group were covered with gauze and self-adhesive bandage the operation time,surgical blood loss,and ease of dressing removal on the third day after operation,visual analogue scale(VAS)score when dressing removal,incision bleeding after dressing removal,wound edema time,titanium nail complete shedding time,complete healing time,family satisfaction,and complications were compared between the two groups.Results There were no significant differences in operation time,surgical blood loss,titanium nail complete shedding time,and complete healing time between the two groups(P>0.05).Compared with the control group,the observation group was easier to remove the dressing on the third day after operation was decreased,the VAS pain score when dressing removal and the bleeding rate of incision after dressing removal were decreased in the observation group,and the differences were statistically significant(P<0.05).The postoperative wound edema time in the observation group was shorter than that in the control group,and the differences were statistically significant(P<0.05).The postoperative satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).There was no significant difference in the number of postoperative complications between the two groups,and the differences were statistically significant(P>0.05).Conclusion Absorbable gelatin sponge can greatly reduce the pain of dressing change after circumcision in children,and it is easier to r

关 键 词：吸收性明胶海绵 儿童包皮环切术 复方利多卡因乳膏 一次性包皮环切缝合器 疼痛护理 门诊手术 

分 类 号：R726[医药卫生—儿科]