CAJ | 학술논문

目的：研究腭裂修复术后松弛切口内填塞医用即溶止血纱布的效果。方法108例腭裂手术患儿随机分为两组，观察组（术后松弛切口填塞医用即溶止血纱布）60例，对照组（术后松弛切口填塞碘仿纱条）48例，观察比较患儿术后饮食、体温、切口出血情况及切口愈合情况。结果观察组患儿术后体温升高的发生率明显低于对照组（P＜0．05）；观察组手术切口术后出血较少，恢复正常饮食时间早，创口愈合较快。结论小儿腭裂术后两侧松弛切口填塞医用即溶止血纱布比填塞碘仿纱条更有利于患儿术后的恢复。
목적：연구악렬수복술후송이절구내전새의용즉용지혈사포적효과。방법108례악렬수술환인수궤분위량조，관찰조（술후송이절구전새의용즉용지혈사포）60례，대조조（술후송이절구전새전방사조）48례，관찰비교환인술후음식、체온、절구출혈정황급절구유합정황。결과관찰조환인술후체온승고적발생솔명현저우대조조（P＜0．05）；관찰조수술절구술후출혈교소，회복정상음식시간조，창구유합교쾌。결론소인악렬술후량측송이절구전새의용즉용지혈사포비전새전방사조경유리우환인술후적회복。
Objective To investigate the effect of absorbable hemostatic gauze filling in the relaxation incision on the cleft palate surgery.Methods A total of 108 cases of children in our department who performed the cleft palate surgery in recent years were chosen and randomly divided into two groups:60 cases of observation group ( packing absorbable hemostatic gauze in the relaxation incisions ) and 48 ca-ses of the control group ( packing iodoform in the relaxation incisions ) .The bleeding ,temperature changes ,diet and wound healing after opera-tion in children were observed .Results The incidence of elevated temperature of the observation group was significantly lower than that of the control group(P<0.05).And the wound had less postoperative bleeding ,the recovery time was short,and the recovery time to the normal diet was earlier than that of the control group .Conclusion It is more beneficial for packing in the relaxation incisions with absorbable hemo-static gauze than that with iodoform gauze in the rehabilitation of the children with cleft palate .