国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
1期
80-82
,共3页
创面封闭医用胶%结扎缝合法%肝胆手术%创面封闭
創麵封閉醫用膠%結扎縫閤法%肝膽手術%創麵封閉
창면봉폐의용효%결찰봉합법%간담수술%창면봉폐
Medical adhesive wound closure%Ligation suture%Hepatobiliary surgery%Wound closure
目的 对比分析创面封闭医用胶与结扎缝合法在肝胆手术创面封闭中的临床疗效,探讨其临床适用性.方法 选择从2009年5月至2012年5月于我院确诊需要进行肝胆手术的60例患者,简单随机分为试验组30例和对照组30例,试验组采用创面封闭医用胶进行创面封闭止血,对照组采用常规结扎缝合法进行封闭止血处理.观察两组患者的手术时间、术后首次排气时间、进食时间、拔管时间、胆漏发生率和住院时间等情况,并观察两组患者术后肝功能情况及肝功能恢复正常的时间.结果 试验组患者手术时间、术后首次排气时间、进食时间、拔管时间及平均住院时间分别为(3.21 ±2.09)h、(2.47±1.98)d、(3.34±2.03)d、(5.13±2.67)d、(12.37±3.79)d,均明显低于对照组,差异均有统计学意义(P＜0.05),试验组患者术后AST、ALT及TBil的变化水平[(235.7±20.4) U/L,(276.4±21.8) U/L,(33.1±7.4) mmol/L]均低于对照组,差异均有统计学意义(P＜0.05),试验组患者肝功能恢复正常的时间也早于对照组,差异有统计学意义(P＜0.05).结论 在肝胆手术创面封闭中,选择创面封闭医用胶具有更好的创面封闭止血效果,可以促进伤口尽快愈合,对术后肝功能的影响较小,适合临床长期推广应用.
目的 對比分析創麵封閉醫用膠與結扎縫閤法在肝膽手術創麵封閉中的臨床療效,探討其臨床適用性.方法 選擇從2009年5月至2012年5月于我院確診需要進行肝膽手術的60例患者,簡單隨機分為試驗組30例和對照組30例,試驗組採用創麵封閉醫用膠進行創麵封閉止血,對照組採用常規結扎縫閤法進行封閉止血處理.觀察兩組患者的手術時間、術後首次排氣時間、進食時間、拔管時間、膽漏髮生率和住院時間等情況,併觀察兩組患者術後肝功能情況及肝功能恢複正常的時間.結果 試驗組患者手術時間、術後首次排氣時間、進食時間、拔管時間及平均住院時間分彆為(3.21 ±2.09)h、(2.47±1.98)d、(3.34±2.03)d、(5.13±2.67)d、(12.37±3.79)d,均明顯低于對照組,差異均有統計學意義(P＜0.05),試驗組患者術後AST、ALT及TBil的變化水平[(235.7±20.4) U/L,(276.4±21.8) U/L,(33.1±7.4) mmol/L]均低于對照組,差異均有統計學意義(P＜0.05),試驗組患者肝功能恢複正常的時間也早于對照組,差異有統計學意義(P＜0.05).結論 在肝膽手術創麵封閉中,選擇創麵封閉醫用膠具有更好的創麵封閉止血效果,可以促進傷口儘快愈閤,對術後肝功能的影響較小,適閤臨床長期推廣應用.
목적 대비분석창면봉폐의용효여결찰봉합법재간담수술창면봉폐중적림상료효,탐토기림상괄용성.방법 선택종2009년5월지2012년5월우아원학진수요진행간담수술적60례환자,간단수궤분위시험조30례화대조조30례,시험조채용창면봉폐의용효진행창면봉폐지혈,대조조채용상규결찰봉합법진행봉폐지혈처리.관찰량조환자적수술시간、술후수차배기시간、진식시간、발관시간、담루발생솔화주원시간등정황,병관찰량조환자술후간공능정황급간공능회복정상적시간.결과 시험조환자수술시간、술후수차배기시간、진식시간、발관시간급평균주원시간분별위(3.21 ±2.09)h、(2.47±1.98)d、(3.34±2.03)d、(5.13±2.67)d、(12.37±3.79)d,균명현저우대조조,차이균유통계학의의(P＜0.05),시험조환자술후AST、ALT급TBil적변화수평[(235.7±20.4) U/L,(276.4±21.8) U/L,(33.1±7.4) mmol/L]균저우대조조,차이균유통계학의의(P＜0.05),시험조환자간공능회복정상적시간야조우대조조,차이유통계학의의(P＜0.05).결론 재간담수술창면봉폐중,선택창면봉폐의용효구유경호적창면봉폐지혈효과,가이촉진상구진쾌유합,대술후간공능적영향교소,괄합림상장기추엄응용.
Objective To compare the clinical efficacy of medical adhesive wound closure and ligation suture for closing hepatobiliary surgical wound.Methods 60 patients undertaking hepatobiliary surgery at our hospital from May,2009 to May,2012 were selected and then were randomly divided into an experimental group and a control group.The experimental group were conducted medical adhesive wound closure,while the control group were treated with conventional hemostatic suture ligation.The general operative situation,the postoperative liver function,and the time for the liver function recover to normal were observed.Results The operation time,postoperative first exhaustion time,eating time,extubation time,wound stitch time,and average length of hospital stay were (3.21±2.09) h,(2.47±1.98) d,(3.34±2.03) d,(5.13±2.67) d,(12.37±3.79) d,in the experimental group,which were significantly lower than those in the control group,with statistical differences (P＜0.05); after the operation,the serum levels of AST,ALT,and TBil were (235.7±20.4) U/L,(276.4±21.8) U/L,and (33.l±7.4)mmol/L in the experimental group,which were better than those in the control group,with statistical differences (P ＜0.05); the time for the liver function recover to normal was shorter in the experimental group than in the control group,with a statistical difference (P＜0.05).Conclusions Medical adhesive wound closure for closing hepatobiliary surgical wound has better hemostatic effect,can promote wound healing as soon as possible,has little influence on postoperative liver function,and is worth being clinically generalized.
