莫匹罗星软膏联合“小内裤”包扎法对尿道下裂术后恢复的影响  

Mupirocin ointment combined with small underpants wrapping method on the postoperative period of hypospadias recovery of hypospadias

作　　者：潘日芳 肖志华[1] 周兆伟 黎俊忠 黎兆攀 梁坤兰 PAN Ri-fang;XIAO Zhi-hua;ZHOU Zhao-wei;LI Jun-zhong;LI Zhao-pan;LIANG Kun-lan(Department of Pediatric Surgery,Yulin First People′s Hospital,Yulin 537000,Guangxi,China)

机构地区：[1]玉林市第一人民医院小儿外科,广西玉林537000

出　　处：《广东医学》2024年第7期879-885,共7页Guangdong Medical Journal

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-K20231765)。

摘　　要：目的观察莫匹罗星软膏浸润覆盖阴茎切口联合“小内裤”包扎法对尿道下裂术后恢复的影响。方法选取2020年1月至2023年6月共218例尿道下裂手术病例,根据术后包扎方式分为研究组和对照组,比较两组患儿术后一般情况及并发症发生等资料;比较术后不同时期疼痛评分(FLACC)。采用logistics回归分析患儿并发症发生的影响因素。结果研究组在术后第一次下床活动时间、第一次换药时间、第一次换药耗费时间、第一次换药出血量、术后7 d换药次数、导管打折脱落、切口愈合时间上优于对照组(P<0.05),伤口周围皮肤瘙痒次数多于对照组(P<0.05)。两组患儿不同时期FLACC评分均随时间呈递减趋势且研究组优于对照组(P<0.05)。导管打折脱落、伤口感染、术后切口愈合时间长为患儿发生术后并发症的危险因素。结论应用莫匹罗星软膏浸润覆盖阴茎切口联合“小内裤”包扎法可减轻尿道下裂术后疼痛、减少换药次数、降低并发症发生,敷料固定牢靠、护理便捷,有利于术后恢复,值得推广。Objective To observe the effect of mupirocin ointment infiltration covering the penile incision combined with the small underpants dressing method on postoperative recovery in hypospadias repair.Methods A total of 218 cases of hypospadias repair surgeries performed from January 2020 to June 2023 were selected.Based on the postoperative dressing method,patients were divided into a study group and a control group.General conditions,complications,and FLACC scores at different postoperative periods were compared between the two groups.Logistic regression analysis was used to identify factors influencing the occurrence of complications.Results The study group showed better outcomes in terms of the first time getting out of bed after surgery,the first dressing change time,time spent on the first dressing change,bleeding volume,number of dressing changes within 7 days,catheter dislocation,and wound healing time compared to the control group(P<0.05).The occurrence of itching around the wound in the study group was higher than that in the control group(P<0.05).The FLACC scores in both groups decreased over time,with the study group showing better scores than the control group(P<0.05).Factors such as catheter dislocation,wound infection,and wound healing time were identified as risk factors for postoperative complications.Conclusion The use of mupirocin ointment infiltration combined with the small underpants dressing method can reduce postoperative pain,decrease the number of dressing changes,and lower the occurrence of complications.This method ensures secure dressing fixation and facilitates nursing care,promoting postoperative recovery and worthy of clinical application.

关 键 词：尿道下裂 敷料包扎 术后恢复 莫匹罗星软膏 “小内裤” 

分 类 号：R699.6[医药卫生—泌尿科学] R699.8[医药卫生—外科学]