当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
26期
1-2
,共2页
叶新桥%刘祖洪%马二招%黄羊生%陈健明
葉新橋%劉祖洪%馬二招%黃羊生%陳健明
협신교%류조홍%마이초%황양생%진건명
胸腔镜手术%切口保护套%临床应用%围术期%影响
胸腔鏡手術%切口保護套%臨床應用%圍術期%影響
흉강경수술%절구보호투%림상응용%위술기%영향
Thoracoscopic surgery%Lap-protector%Clinical applications%Perioperative%Impact
目的：探讨分析胸腔镜手术切口保护套使用与否对围术期各项指标的影响，为今后的临床治疗工作提供可靠的理论依据。方法选取接受胸腔镜手术治疗的患者90例，将其按照入院时间顺序分成对照组和观察组，对照组患者接受胸腔镜穿刺套管处理，观察组患者则是接受胸腔镜切口保护套处理，对2组患者的手术情况与围术期各项指标变化情况进行对比分析。结果对比发现，观察组患者术中出血量（70.2±10.1）mL、术后引流量（41.7±5.3）mL均较对照组显著降低[（96.3±9.8）mL，（51.4±6.2）mL]（P<0.05）；观察组镜头擦拭次数较对照组减少[(5.8±1.2)次vs （8.5±2.4)次]（P<0.05），手术时间明显缩短[（78.6±8.7）min vs （88.9±10.1）min]（P<0.05）。结论实施胸腔镜手术过程中合理应用切口保护套可有效改善围术期各项指标水平，应用价值显著，值得关注并推广。
目的：探討分析胸腔鏡手術切口保護套使用與否對圍術期各項指標的影響，為今後的臨床治療工作提供可靠的理論依據。方法選取接受胸腔鏡手術治療的患者90例，將其按照入院時間順序分成對照組和觀察組，對照組患者接受胸腔鏡穿刺套管處理，觀察組患者則是接受胸腔鏡切口保護套處理，對2組患者的手術情況與圍術期各項指標變化情況進行對比分析。結果對比髮現，觀察組患者術中齣血量（70.2±10.1）mL、術後引流量（41.7±5.3）mL均較對照組顯著降低[（96.3±9.8）mL，（51.4±6.2）mL]（P<0.05）；觀察組鏡頭抆拭次數較對照組減少[(5.8±1.2)次vs （8.5±2.4)次]（P<0.05），手術時間明顯縮短[（78.6±8.7）min vs （88.9±10.1）min]（P<0.05）。結論實施胸腔鏡手術過程中閤理應用切口保護套可有效改善圍術期各項指標水平，應用價值顯著，值得關註併推廣。
목적：탐토분석흉강경수술절구보호투사용여부대위술기각항지표적영향，위금후적림상치료공작제공가고적이론의거。방법선취접수흉강경수술치료적환자90례，장기안조입원시간순서분성대조조화관찰조，대조조환자접수흉강경천자투관처리，관찰조환자칙시접수흉강경절구보호투처리，대2조환자적수술정황여위술기각항지표변화정황진행대비분석。결과대비발현，관찰조환자술중출혈량（70.2±10.1）mL、술후인류량（41.7±5.3）mL균교대조조현저강저[（96.3±9.8）mL，（51.4±6.2）mL]（P<0.05）；관찰조경두찰식차수교대조조감소[(5.8±1.2)차vs （8.5±2.4)차]（P<0.05），수술시간명현축단[（78.6±8.7）min vs （88.9±10.1）min]（P<0.05）。결론실시흉강경수술과정중합리응용절구보호투가유효개선위술기각항지표수평，응용개치현저，치득관주병추엄。
Objective To thoracoscopic surgical incision protective sleeve practical or not affect perioperative indicators to be analyzed and discussed to provide a reliable theoretical basis for clinical treatment.Methods The extraction in 90 cases admitted receiving thoracoscopic surgery, which according to the admission chronologically divided into control group and observation group and control group patients received thoracic puncture sets tube processing, observe patients are receiving treatment thoracoscopic incision protective sleeve, then the case of surgery perioperative patients were changes in the indicators were analyzed.Results The comparison, blood loss (70.2 ± 10.1)mL patients in the observation group, postoperative drainage (41.7 ± 5.3)mL than in the control group had significantly lower (96.3 ± 9.8)mL, (51.4 ± 6.2)mL (P<0.05), reduce the number of lens cleaning (5.8 ± 1.2) times vs (8.5 ± 2.4) times (P<0.05), operative time was significantly shorter (78.6 ± 8.7)min vs (88.9 ± 10.1)min (P<0.05). Conclusion The implementation of the thoracoscopic surgery incision protective sleeve reasonable application of the indicators which can effectively improve the level of perioperative application of significant concern and promotion.
