持续负压吸引在腹股沟疝无张力修补术后切口愈合不良的应用效果研究  

Research of the Application Effect of Continuous Negative Pressure Aspiration in Poor Wound Healing after Tension-free Repair of Inguinal Hernia

作　　者：梁志华 李树河 杨肖邦 江均良 廖志锋 LIANG Zhihua;LI Shuhe;YANG Xiaobang;JIANG Junliang;LIAO Zhifeng(Baiyun Branch of Southern Hospital of Southern Medical University,Guangzhou,Guangdong Province,510400 China)

机构地区：[1]南方医科大学南方医院白云分院,广东广州510400

出　　处：《中外医疗》2024年第16期1-3,8,共4页China & Foreign Medical Treatment

基　　金：广州市白云区科技项目(2020-YL-017)。

摘　　要：目的评估持续负压吸引在腹股沟疝无张力修补术后切口愈合不良的应用效果。方法方便选取2022年3月-2023年7月南方医科大学南方医院收治的76例腹股沟疝无张力修补术患者为研究对象,经双盲法分为两组,各38例。对照组实施伤口换药,观察组实施持续负压吸引,对比两组患者的切口恢复情况、炎性因子水平和疼痛程度。结果观察组治疗时间为(6.34±2.23)d,短于对照组的(10.23±3.16)d,差异有统计学意义(t=3.433,P<0.05);观察组的换药次数少于对照组,差异有统计学意义(P<0.05)。干预当日两组炎性因子水平、疼痛程度对比,差异无统计学意义(P均>0.05);干预5、10 d后观察组炎症指标水平和疼痛程度均优于对照组,差异有统计学意义(P均<0.05)。结论腹股沟疝无张力修补术后使用持续负压吸引可促进切口恢复,抑制炎性指标,患者疼痛显著缓解。Objective To evaluate the effect of continuous negative pressure aspiration on poor wound healing after tension-free inguinal hernia repair.Methods A total of 76 patients with tension-free inguinal hernia repair admitted to Southern Hospital of Southern Medical University from March 2022 to July 2023 were conveniently selected as the study objects,and were divided into two groups with 38 cases each by double-blind method.The control group underwent wound dressing change,and the observation group underwent continuous negative pressure aspiration.Incision recovery,inflammatory factor levels and pain levels were compared between the two groups.Results The treatment time in the observation group was(6.34±2.23)d,which was shorter than(10.23±3.16)d in the control group,and the difference was statistically significant(t=3.433,P<0.05).The frequency of dressing change in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).On the intervention day,there was no statistically significant difference in the level of inflammatory factors and pain degree between the two groups(both P>0.05).After 5 and 10 days of intervention,the inflammation indexes and pain degree of the observation group were better than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion Continuous negative pressure aspiration after tension-free inguinal hernia repair can promote wound recovery,inhibit inflammatory markers,and significantly relieve pain in patients.

关 键 词：持续负压吸引 腹股沟疝 无张力修补术 切口 愈合不良 

分 类 号：R656.21[医药卫生—外科学]