CAJ | 학술논문

　　目的观察人工髋关节置换术后早期引流管夹闭时间对引流量的影响。方法随机将118例初次人工髋关节置换术患者分为对照组、实验1组和实验2组。对照组按传统方法正常负压保持引流通畅；实验1组手术完毕缝皮后即夹闭引流管，至术后4h后持续开放；实验2组手术完毕缝皮后即关闭引流管，至术后6 h后持续开放；观察各组术后8、12、24 h的切口引流量，引流管关节腔内末端细菌培养情况，切口愈合时间，出院时髋关节功能评分。结果术后8、12、24 h的切口引流量各组间比较，差异有统计学意义(P＜0.05)，对照组的引流量明显多于实验1组和实验2组，实验2组最少，切口愈合时间、出院时关节功能评分及引流管顶端细菌培养各组间比较，差异无统计学意义(P＞0.05)。结论髋关节置换术后6 h内暂时夹闭引流管能减少切口引流量，且对切口的愈合情况及关节功能的恢复无不良影响。
　　목적관찰인공관관절치환술후조기인류관협폐시간대인류량적영향。방법수궤장118례초차인공관관절치환술환자분위대조조、실험1조화실험2조。대조조안전통방법정상부압보지인류통창；실험1조수술완필봉피후즉협폐인류관，지술후4h후지속개방；실험2조수술완필봉피후즉관폐인류관，지술후6 h후지속개방；관찰각조술후8、12、24 h적절구인류량，인류관관절강내말단세균배양정황，절구유합시간，출원시관관절공능평분。결과술후8、12、24 h적절구인류량각조간비교，차이유통계학의의(P＜0.05)，대조조적인류량명현다우실험1조화실험2조，실험2조최소，절구유합시간、출원시관절공능평분급인류관정단세균배양각조간비교，차이무통계학의의(P＞0.05)。결론관관절치환술후6 h내잠시협폐인류관능감소절구인류량，차대절구적유합정황급관절공능적회복무불량영향。
Objective To observe the effect of drainage pipe clamp time on the drainage rate after primary hip join replacement.Methods According to the order of patient's admission to the hospital,118 cases of ifrst time hip join replacement patients were divided into control group,experimental groupⅠ,and experimental groupⅡ.In the control group, keeping normal pressure and drainage was kept lfowing clearly by the traditional methods;In experimental groupⅠ,the drainage pipe was clipped at once after operation,and it was lift continually in 4 hours after operation;In experimental groupⅡ,the drainage pipe was clipped at once after operation,and it was lift continually in 6 hours after operation;Observing the drainage rates of incision in each group in 8 hours,12 hours and 24 hours,the germiculture of drainage tube joint cavity tip,the wound healing time,and the functional score of hip joint while leaving hospital. Results There was signiifcant difference (P<0.05),compared every group on postoperative incision lfow rate in 8,12 and 24 hours.The drainage volume in control group was more obviously than the experimental groupⅠand the experimental groupⅡ.The experimental groupⅡwas the least.There was no difference (P>0.05) between every group in terms of the wound healing time, hospital joint function score,and bacterial culture in the top of the drainage tube. Conclusion A temporary clamping of the drainage tube can reduce incision drainage in 6 hours after hip replacement,and there was no adverse effect on the incision healing and joint function recovery.