中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
8期
1164-1166
,共3页
甲状腺手术%高负压引流系统%负压引流
甲狀腺手術%高負壓引流繫統%負壓引流
갑상선수술%고부압인류계통%부압인류
Thyroid surgery%High negative pressure%Traditional suction drainage system
目的 对比甲状腺手术中高负压引流系统和传统负压引流的效果.方法 随机选取符合条件的患者分别进入高负压引流组(观察组)和传统负压引流组(对照组),各30例.观察两组在术后24 h内引流量及延迟拔管率、术后出血、血肿发生率、声音嘶哑(喉返神经损伤)发生率、术后感染发生率、术后拔除引流管时的疼痛程度与剧烈疼痛的发生率、术后1个月复查时切口下粘连发生率.结果 观察组术后24 h引流量(19.00±6.79)ml,对照组为(28.53±14.74)ml(P ＜0.05).观察组延迟拔管率3.33％,对照组26.67％(x2=4.71,P＜0.05).观察组术后血肿、出血发生率为0％,对照组为10％(x2=1.40,P＞0.05).两组拔管前后均无声音嘶哑情况发生.观察组感染发生率0％,对照组为10％(x2=1.40,P＞0.05).观察组拔管操作过程中剧烈疼痛的发生率是0％,而对照组是100％(x2=60.00,P＜0.01).观察组和对照组切口下粘连发生率分别为0.33％和30％(x2=6.14,P＜0.05).结论 在甲状腺良性肿瘤手术中使用高负压引流系统能够明显减少术后引流量、降低延迟拔管率、减少切口下粘连发生率,还是值得推广的.
目的 對比甲狀腺手術中高負壓引流繫統和傳統負壓引流的效果.方法 隨機選取符閤條件的患者分彆進入高負壓引流組(觀察組)和傳統負壓引流組(對照組),各30例.觀察兩組在術後24 h內引流量及延遲拔管率、術後齣血、血腫髮生率、聲音嘶啞(喉返神經損傷)髮生率、術後感染髮生率、術後拔除引流管時的疼痛程度與劇烈疼痛的髮生率、術後1箇月複查時切口下粘連髮生率.結果 觀察組術後24 h引流量(19.00±6.79)ml,對照組為(28.53±14.74)ml(P ＜0.05).觀察組延遲拔管率3.33％,對照組26.67％(x2=4.71,P＜0.05).觀察組術後血腫、齣血髮生率為0％,對照組為10％(x2=1.40,P＞0.05).兩組拔管前後均無聲音嘶啞情況髮生.觀察組感染髮生率0％,對照組為10％(x2=1.40,P＞0.05).觀察組拔管操作過程中劇烈疼痛的髮生率是0％,而對照組是100％(x2=60.00,P＜0.01).觀察組和對照組切口下粘連髮生率分彆為0.33％和30％(x2=6.14,P＜0.05).結論 在甲狀腺良性腫瘤手術中使用高負壓引流繫統能夠明顯減少術後引流量、降低延遲拔管率、減少切口下粘連髮生率,還是值得推廣的.
목적 대비갑상선수술중고부압인류계통화전통부압인류적효과.방법 수궤선취부합조건적환자분별진입고부압인류조(관찰조)화전통부압인류조(대조조),각30례.관찰량조재술후24 h내인류량급연지발관솔、술후출혈、혈종발생솔、성음시아(후반신경손상)발생솔、술후감염발생솔、술후발제인류관시적동통정도여극렬동통적발생솔、술후1개월복사시절구하점련발생솔.결과 관찰조술후24 h인류량(19.00±6.79)ml,대조조위(28.53±14.74)ml(P ＜0.05).관찰조연지발관솔3.33％,대조조26.67％(x2=4.71,P＜0.05).관찰조술후혈종、출혈발생솔위0％,대조조위10％(x2=1.40,P＞0.05).량조발관전후균무성음시아정황발생.관찰조감염발생솔0％,대조조위10％(x2=1.40,P＞0.05).관찰조발관조작과정중극렬동통적발생솔시0％,이대조조시100％(x2=60.00,P＜0.01).관찰조화대조조절구하점련발생솔분별위0.33％화30％(x2=6.14,P＜0.05).결론 재갑상선량성종류수술중사용고부압인류계통능구명현감소술후인류량、강저연지발관솔、감소절구하점련발생솔,환시치득추엄적.
Objective To compare the effect of high negative pressure drainage system and the traditional suction drainage system applied in thyroid surgery.Methods Eligible patients were selected randomly and divided into high negative pressure drainage group(30 cases) and traditional suction drainage group(30 cases).The draining rate within 24 hours after operation,delayed extubation rate,postoperative bleeding,rates of recurrent laryngeal nerve Injury,postoperative infection rate,degree of extubation pain and the incidence of severe pain of both groups were observed and difference of incidence of incision adhesions 1 month after operation were observed.Results The average drainage within 24 hours after operation in experimental group was (19.00 ± 6.79) ml,while (28.53 ± 14.74) ml in control group (P ＜ 0.05).Delayed extubation rate in experimental group was 3.33 ％,while 26.67％ in control group (x2 =4.71,P ＜ 0.05).Incidence of hematoma and bleeding after operation in experimental group was 0％,while 10％ in control group(x2 =1.40,P ＞ 0.05).No recurrent laryngeal nerve injury was found in either group,Incidence was 0％.The incidence of infection in experimental group was 0％,while 10％ in control group (x2 =1.40,P ＞0.05).The incidence of severe pain when extubation in experimental group was 0％,while 100％ in control group (x2 =60.00,P ＜ 0.05).Incidence of incision adhesions in experimental group was 0.33 ％,while 30％ in control group (x2 =6.14,P ＜ 0.05).Conclusion Draining rate,delayed extubation rate and incidence of incision adhesions could be reduced with high negative pressure drainage system applied in thyroid surgery,which is worthy of clinical.
