中华老年口腔医学杂志
中華老年口腔醫學雜誌
중화노년구강의학잡지
CHINESE JOURNAL OF GERIATRIC DENTISTRY
2014年
4期
215-218
,共4页
真空高负压引流瓶%普通负压引流瓶%腮腺手术%临床观察
真空高負壓引流瓶%普通負壓引流瓶%腮腺手術%臨床觀察
진공고부압인류병%보통부압인류병%시선수술%림상관찰
high vacuum drainage bottle%traditional suction drainage bottle%parotid surgery%clinical observation
目的：观察Drainobag真空高负压引流瓶在腮腺浅叶切除术后引流的临床效果。方法：将104例老年腮腺手术患者随机分为实验组(54例)和对照组(50例)，实验组采用Drainobag真空高负压引流瓶引流，对照组采用普通负压吸引瓶引流。对两组患者术后第1、2、3d的引流量及术后总引流量、引流时间、术后发生皮下积液的百分比进行比较。结果：高负压引流组与普通负压引流组术后第1、2d引流量无显著性差异，术后第3d高负压引流组引流量低于普通负压引流组。高负压引流患者组引流时间比普通负压引流患者组引流时间短，两组相比有显著差异。两组患者术后引流总量无显著性差异。两组患者术后出现皮下积液的百分比无显著性差异。结论： Drainobag真空高负压引流瓶和普通负压引流瓶均可彻底引流术区渗液，高负压引流瓶较普通负压更能使皮瓣紧密贴合下方组织，促进创口愈合，无需术后每天清空引流瓶内液体，减少医护人员工作量和术后感染机会。高负压引流可在一定程度上缩短术后引流时间。
目的：觀察Drainobag真空高負壓引流瓶在腮腺淺葉切除術後引流的臨床效果。方法：將104例老年腮腺手術患者隨機分為實驗組(54例)和對照組(50例)，實驗組採用Drainobag真空高負壓引流瓶引流，對照組採用普通負壓吸引瓶引流。對兩組患者術後第1、2、3d的引流量及術後總引流量、引流時間、術後髮生皮下積液的百分比進行比較。結果：高負壓引流組與普通負壓引流組術後第1、2d引流量無顯著性差異，術後第3d高負壓引流組引流量低于普通負壓引流組。高負壓引流患者組引流時間比普通負壓引流患者組引流時間短，兩組相比有顯著差異。兩組患者術後引流總量無顯著性差異。兩組患者術後齣現皮下積液的百分比無顯著性差異。結論： Drainobag真空高負壓引流瓶和普通負壓引流瓶均可徹底引流術區滲液，高負壓引流瓶較普通負壓更能使皮瓣緊密貼閤下方組織，促進創口愈閤，無需術後每天清空引流瓶內液體，減少醫護人員工作量和術後感染機會。高負壓引流可在一定程度上縮短術後引流時間。
목적：관찰Drainobag진공고부압인류병재시선천협절제술후인류적림상효과。방법：장104례노년시선수술환자수궤분위실험조(54례)화대조조(50례)，실험조채용Drainobag진공고부압인류병인류，대조조채용보통부압흡인병인류。대량조환자술후제1、2、3d적인류량급술후총인류량、인류시간、술후발생피하적액적백분비진행비교。결과：고부압인류조여보통부압인류조술후제1、2d인류량무현저성차이，술후제3d고부압인류조인류량저우보통부압인류조。고부압인류환자조인류시간비보통부압인류환자조인류시간단，량조상비유현저차이。량조환자술후인류총량무현저성차이。량조환자술후출현피하적액적백분비무현저성차이。결론： Drainobag진공고부압인류병화보통부압인류병균가철저인류술구삼액，고부압인류병교보통부압경능사피판긴밀첩합하방조직，촉진창구유합，무수술후매천청공인류병내액체，감소의호인원공작량화술후감염궤회。고부압인류가재일정정도상축단술후인류시간。
Objective:To observe the postoperative effect of high vacuum suction drainage bottle and traditional suction drainage bottle in superficial parotidectomy. Methods: Totally 104 cases with parotid gland surgery in middle-aged and elderly patients were randomly divided into experimental group (54 cases) and control group (50 cases). Experimental group were treated with high vacuum suction drainage bottle, while control group were treated with traditional suction drainage bottle. The fluid volume of postoperative drainage on Day 1, 2, 3 and total volume, duration of drainage, the incidence of seroma formation were compared between two groups. Results: There was no significant difference in the volume of drainage between high vacuum suction drainage bottle group and the traditional suction drainage group on the first and second day. On the third day, the volume of drainage of high vacuum suction drainage bottle group was less than that of the traditional suction drainage group. The drainage duration of high vacuum suction drainage bottle group was shorter than that of the traditional suction drainage group. No significant difference was found in the total volume of postoperative drainage between the two groups. No significant difference was found in the percentage of patients with seroma formation between the two groups. Conclusion:High vacuum drainage bottle and traditional suction drainage bottle can both achieve good drainage effects. Moreover, High-vacuum drainage bottle enables the flap to closely fit the bottom of the organization and promotes wound healing. Everyday removal of the fluid in the bottle was not needed in high vacuum drainage bottle group and thus the opportunity of postoperative infection and the manual workload were reduced. To a degree, application of high vacuum suction drainage bottle can reduce postoperative drainage duration.
