自制皮下负压引流管在肥胖患者腹部手术切口中的应用效果  

Application effects of self-made subcutaneous negative pressure drainage tube in abdominal incision of obese patients

作　　者：郑永光 陈昕[1] 赵筱玉 张永乐 王超 ZHENG Yongguang;CHEN Xin;ZHAO Xiaoyu;ZHANG Yongle;WANG Chao(Zhoukou Central Hospital,Hepatobiliary and Pancreatic Surgery,Zhoukou 466000 Henan,China;Zhoukou Central Hospital,Hepatobiliary Surgery,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中心医院肝胆胰外科,河南周口466000 [2]周口市中心医院肝胆外科,河南周口466000

出　　处：《中国民康医学》2025年第4期68-70,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察自制皮下负压引流管在肥胖患者腹部手术切口中的应用效果。方法:选取2021—2023年于该院拟行腹部手术的100例肥胖患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。对照组切口常规缝合未使用引流装置引流,观察组切口常规缝合并使用自制皮下引流管引流。比较两组切口愈合时间,住院时间,切口甲级愈合率,手术前后炎性因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]水平,以及并发症发生率。结果:观察组切口愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组切口甲级愈合率为82.00%,高于对照组的54.00%,差异有统计学意义(P<0.05);术后7 d,两组CRP、IL-6、IL-8水平均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为10.00%,低于对照组的48.00%,差异有统计学意义(P<0.05)。结论:自制皮下负压引流管应用于肥胖患者腹部手术切口常规缝合,可提高切口甲级愈合率,缩短切口愈合时间和住院时间,以及降低炎性因子水平和并发症发生率的效果优于切口常规缝合未使用引流装置。Objective:To observe application effects of self-made subcutaneous negative pressure drainage tube in abdominal incision of obese patients.Methods:A prospective study was conducted on 100 obese patients who underwent abdominal surgeries in this hospital from 2021 to 2023.According to the random number table method,they were divided into control group and observation group,50 cases in each group.The control group was treated with conventional suture of incision without drainage device,while the observation group was treated with conventional suture of incision with self-made subcutaneous drainage tube.The incision healing time and the hospitalization time,the grade A incision healing rate,the levels of inflammatory factors[C-reactive protein(CRP),interleukin-6(IL-6),interleukin-8(IL-8)]before and after the surgery,and the incidence of complications were compared between the two groups.Results:The incision healing time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The grade A incision healing rate in the observation group was 82.00%,which was higher than 54.00%in the control group,and the difference was statistically significant(P<0.05).7 days after the surgery,the levels of CRP,IL-6 and IL-8 in the two groups were lower than those before the surgery,those in the observation group were lower than the those in control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 10.00%,which was significantly lower than 48.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The self-made subcutaneous negative pressure drainage tube in routine suture of abdominal incision in the obese patients can improve the grade A incision healing rate,shorten the incision healing time and the hospitalization time,and reduce the levels of inflammatory factors and the incidence of complications.Moreover,it is su

关 键 词：腹部手术 肥胖 切口 自制皮下负压引流管 引流 炎性因子 脂肪液化 

分 类 号：R619.3[医药卫生—外科学]