常压引流和负压引流在后腹腔镜肾癌根治术后的效果观察

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1、授予单位代码10089学号或申请号13701K妗(E搿走空HebeiMedicalUniversity硕士学位论文在职科学学位常压引流和负压引流在后腹腔镜肾癌根治术后的效果观察学位申请人：陈军肖导师：吴爱须主任护师专业：护理学二级学院：第二医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科

2、大学所有。否则，承担相应法律责任。研究生签名导师签章二级学院领导盖章：、年y月q日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写,文责自负。研究生签名：

3、导师签章：yjr年5月丨1日目录中文摘要·············································································1英文摘要·································

4、············································3研究论文常压引流和负压引流在后腹腔镜肾癌根治术后的效果观察前言·············································································6对象与方法····································································7结果································································

5、·············10附图·············································································12附表·············································································13讨论·············································································15结论··································

6、···········································18参考文献·······································································18综述外科引流的现状及护理··················································21致谢···················································································28个人简历·················

7、····························································29中文摘要常压引流和负压引流在后腹腔镜肾癌根治术后的效果观察摘要目的:通过对常压引流和负压引流在后腹腔镜肾癌根治术后的效果观察和利弊分析，探讨后腹腔镜肾癌根治术后伤口引流的最佳方式，用于指导临床实践。方法：收集2013年10月-2014年12月在我院泌尿外科行后腹腔镜肾癌根治术患者资料84例。其中因术前感染、凝血功能异常及重度糖尿病因素排除4例，入选80例。按照统计学随机数字表编号。将80例患者随机分为两组。一组为实验组，引流方式为常压引流，引流装置为引流管接抗

8、返流引流袋；另一组为对照组，引流方式为负压引流，引流装置为负压引流管接负压硅球。观察指标：术后每日伤口引流量、引流护理所需时间、带管时间、引流并发症。结果：1每日伤口引流量比较：统计结果显示：第1日引流量t=-1.98，P=0.03<0.05，差异有统计学意义;第2日引流量t=-2.79，P=0.01<0.05，差异有统计学意义;第3日引流量t=-2.54，P=0.01<0.05，差异有统计学意义;第4日引流量t=-1.50，P=0.04<0.05，差异有统计学意义;