自制皮下引流管联合持续负压吸引预防肥胖患者腹部术后切口脂肪液化的疗效观察.doc

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1、自制皮下引流管联合持续负压吸引预防肥胖患者腹部术后切口脂肪液化的疗效观察［摘要］目的探讨自制皮下引流管联合持续负压吸引预防肥胖患者腹部术后切口脂肪液化的疗效。方法将本院2011年8月〜2013年8月收治的60例肥胖腹部手术患者随机分为观察组和对照组，每组各30例，观察组患者采用自制皮下引流管联合持续负压吸引治疗，对照组患者采用传统碘仿纱布换药治疗，比较两组患者的临床效果。结果观察组患者的换药次数低于对照组，异物感发生率高于对照组，两组间差异冇统计学意义(P0.05)。观察组患者切口甲级愈合率为93.3%,明显高于对照组的83.3%；住院时间明显短于对照组，差异有统计学意义(P<0.

2、05)o结论自制皮下引流管联合持续负压吸引预防肥胖患者腹部术后切口脂肪液化的临床效果显著。［关键词］引流管；持续负压吸引；肥胖；脂肪液化［中图分类号］R619：文献标识码］B［文章编号］1674-4721(2014)06(a)-0173-03ClinicalobservationonhomemadesubcutaneousdrainagetubejointcontinuousnegativepressuresuctionpreventionfatliquefactionofabdomirialincisioninpostoperativeobesepatientsLONGSheng

3、PENGYiDepartmentofGeneralSugery,People'sHospitalofXinyiCityinGuangdongProvince,Xinyi525300,China[Abstract]ObjectiveToexploretheeffectofhomemadesubcutaneousdrainagetubejointcontinuousnegativepressuresuctionpreventionfatliquefactionofabdominalincisioninpostoperativeobesepatients・Methods60obesepa

4、tientswithabdominalsurgeryweretreatedinourhospitaifromAugust2011toAugust2013,theywererandomlydividedintoobservationgroupandcontrolgroup,eachgroupof30cases,theobservationgroupwasgivenhomemadesubcutaneousdrainagetubejointcontinuousnegativepressuresuctiontreated,thecontrolgroupwasgiventraditional

5、iodoformgauzebandagetherapy,theclinicaleffectoftwogroupswerecompared・ResultsTheswitchingfrequencyinobservationgroupwaslowerthanthatofthecontrolgroup,theincideneeofforeignbodysensationwashigherthanthatofthecontrolgroup,thediffereneewasstatisticallysignificant(P0.05)•Theincisionclass-ahealingrat

6、einobservationgroupwas93.3%,significantlyhigherthanthecontrolgroupof83.3%.Hospitalizaliontimesignificantlyshorterthanthatoftheconirolgroup,thediffereneewasstatisticallysignificant(P〈0.05).ConclusionThehomemadesubcutaneousdrainagetubejointcontinuousnegativepressuresuctionprevent!onfatliquefacti

7、onofabdominalincisioninpostoperativeobesepatientswithclinicaleffectisremarkable.[Keywords]Drainagetube;Continuousnegativepressuresuction;Obesity;Fatliquefaction脂肪液化是手术伤口愈合不良的主要原因之一[1],一旦出现脂肪液化应及时进行处理，否则易引起切口感染，给患者的预后带来严重影响。有学者认为，腹部手术后切口