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《自制皮下引流管聯(lián)合持續(xù)負壓吸引預防肥胖患者腹部術(shù)后切口脂肪液化的療效觀察.doc》由會員上傳分享，免費在線閱讀，更多相關內(nèi)容在工程資料-天天文庫。
1、自制皮下引流管聯(lián)合持續(xù)負壓吸引預防肥胖患者腹部術(shù)后切口脂肪液化的療效觀察［摘要］目的探討自制皮下引流管聯(lián)合持續(xù)負壓吸引預防肥胖患者腹部術(shù)后切口脂肪液化的療效。方法將本院2011年8月?2013年8月收治的60例肥胖腹部手術(shù)患者隨機分為觀察組和對照組，每組各30例，觀察組患者采用自制皮下引流管聯(lián)合持續(xù)負壓吸引治療，對照組患者采用傳統(tǒng)碘仿紗布換藥治療，比較兩組患者的臨床效果。結(jié)果觀察組患者的換藥次數(shù)低于對照組，異物感發(fā)生率高于對照組，兩組間差異冇統(tǒng)計學意義(P0.05)。觀察組患者切口甲級愈合率為93.3%,明顯高于對照組的83.3%；住院時間明顯短于對照組，差異有統(tǒng)計學意義(P<0.
2、05)o結(jié)論自制皮下引流管聯(lián)合持續(xù)負壓吸引預防肥胖患者腹部術(shù)后切口脂肪液化的臨床效果顯著。［關鍵詞］引流管；持續(xù)負壓吸引；肥胖；脂肪液化［中圖分類號］R619：文獻標識碼］B［文章編號］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脂肪液化是手術(shù)傷口愈合不良的主要原因之一[1],一旦出現(xiàn)脂肪液化應及時進行處理，否則易引起切口感染，給患者的預后帶來嚴重影響。有學者認為，腹部手術(shù)后切口
