CAJ | 학술논문

目的：观察自制负压引流装置促进直肠癌Miles术后会阴部切口感染愈合的效果.方法2012年6月至2013年12月将24例直肠癌 Miles术后发生会阴部切口感染的患者随机分为对照组和观察组各12例，观察组在创面基本清洁后采用自制的负压引流装置(康惠尔透明贴＋吸痰管)进行治疗，对照组继续使用传统方法敞开换药，比较两组患者的伤口愈合时间、换药次数、换药费用及舒适度.结果观察组患者的伤口愈合时间短于对照组，换药次数及换药费用少于对照组，舒适度优于对照组，差异均有统计学意义(P＜0．05).结论自制负压引流装置取材方便，运用于会阴部感染切口引流可明显缩短伤口愈合时间、降低医疗成本和提高患者舒适度.
목적：관찰자제부압인류장치촉진직장암Miles술후회음부절구감염유합적효과.방법2012년6월지2013년12월장24례직장암 Miles술후발생회음부절구감염적환자수궤분위대조조화관찰조각12례，관찰조재창면기본청길후채용자제적부압인류장치(강혜이투명첩＋흡담관)진행치료，대조조계속사용전통방법창개환약，비교량조환자적상구유합시간、환약차수、환약비용급서괄도.결과관찰조환자적상구유합시간단우대조조，환약차수급환약비용소우대조조，서괄도우우대조조，차이균유통계학의의(P＜0．05).결론자제부압인류장치취재방편，운용우회음부감염절구인류가명현축단상구유합시간、강저의료성본화제고환자서괄도.
Objective To observe the effect of negative pressure drainage device used on perineal wound healing for postoperative patients with rectal cancer.Methods 24 patients with perinea incision infection after Miles operation were equally divided into control group and observation group.In the observation group,the wound were treated by using negative pressure drainage device (Comfeel plum transparent dressing+sputum suction tube),while the control group were treated by traditional method,The healing time of wound,the dressing change times,the cost of dressing ,the degree of comfort were compared between two groups.Results The healing time,dressing change times,the cost of dressing ,the degree of comfort in observation group were better than which in control group (P<0.05).Conclusion The negative pressure device is convenient and suitable for drainage of perineal incision infection .It can shorten the wound healing time,reduce the cost of medical care,and enhance patient comfort.