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时间:2019-09-06
《藻酸盐敷料在脊柱后路术后切口脂肪液化中的应用》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、藻酸盐敷料在脊柱后路术后切口脂肪液化中的应用陈琳高敏(泸州医学院附属医院脊柱外科四川泸州646000)【摘要】目的:观察藻酸盐敷料在脊柱后路术后切口脂肪液化治疗的效果。方法:选择我科2012年2月〜2013年3月脊柱后路手术后切口脂肪液化的患者80例,分为观察组40例和对照组40例,两组均给予预防性抗生素治疗。观察组脂肪液化伤口采用藻酸盐敷料换药,对照组脂肪液化伤口采用10%高渗盐水纱布换药。比较两组的伤口愈合时间、患者疼痛程度、伤口治疗费用,比较差异有无统计学意义。结果:两组患者换药时的疼痛感比较
2、差异有统计学意义(PV0.05)。察组患者切口愈合时间短于对照组切口愈合时间,换药次数、也少于对照组,两组间差异有统计学意义(PV0.05),治疗费用两组比较无差异。结论:使用藻酸盐敷料治疗脊柱后路术后脂肪液化切口,有利于渗液及伤口床的管理,能显著缩短患者的切口愈合时间和住院时间,值得临床应用推广。【关键词】藻酸盐敷料;脊柱后路切口;脂肪液化【中图分类号】R453【文献标识码】A【文章编号】1007-8231(2015)15-0020-02Alginatedressingsinspinalposte
3、riorpostoperativeapplicationoffatliquefactionofincisionChenLin,Gaomin,TheaffiliatedhospitalofLiuzhoumedicalcollegespinalsurgeryLuzhouSichuan64600China[Abstract】ObjectiveObservethealginatedressingsinthespinalposteriorfatliquefactionofincisionpostoperati
4、vetreatmenteffectMethodsChoosemyfamilyinFebruary2012・March2013spinalposteriorfatliquefactionofincisionof80casesofpatientsafterthesurgery,dividedintoobservationgroupandcontrolgroup,40casesandcontrolgroup40casesinthetwogroupsweregivenprophylacticantibiot
5、ictherapy.Observationgroupthebandagewoundfatliquefactionusingalginatedressings,controlthewoundfatliquefactionby10%hypertonicsailnegauzebandage.Comparisonoftwogroupsofpatientswithwoundhealingtime,thedegreeofpain,thewoundtreatment,comparingdiffereneehave
6、statisticalsignificanee.ResultsPatienttreatmentpainmoresimilarbetweenthetwogroupswasstatisticallysign讦icant(P<0.05).Wasmadeinthegroupofpatientswithincisionhealingofincisionhealingtimewasshorterthancontrolgroup,treatmenttimes,alsolessthanthecontrolgr
7、oup,thedifferencesbetweenthetwogroupshavestatisticalsignificanee(P<0.05),treatmentcostcomparethedifferencesbetweenthetwogroups.ConclusionUsingalginatedressingsspinalposteriorfatliquefactionofincision,postoperativetreatmentisbeneficialtothedrainagean
8、dthemanagementofthewoundbedcansign讦icantlyshortenhealingtimeandhospitalstayinpatientswithincision,worthclinicalpromotion.【Keywords]Alginatedressings.Spinalposteriorincision.Fatliquefaction随着现代生活质量的提高,肥胖患者增加,脊柱后路手术中频繁使用电凝止血,术后切口因脂肪液化的发生率
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