十字型引流管与普通负压引流管在普外科急腹症手术中的应用对比

Comparison of the Application of Cross Drainage Tube and Ordinary Negative Pressure Drainage Tube in Acute Abdomen

目的比较十字型负压引流管与普通负压引流的临床应用效果。方法前瞻性队列研究2017年12月—2019年12月入院的普外科急腹症500例手术患者,按随机数表法随机、单盲分为试验组(放置十字型负压引流管,250例)和常规组(放置普通负压引流管,250例),观察记录两组引流量、性质、放置时间,腹部症状、白细胞恢复时间,引流管是否漏气、损坏、堵塞和住院时间,并进行比较。结果两组患者全部治愈出院,其中试验组引流管相关并发症明显减少(P<0.05),引流管放置时间、白细胞、超敏C反应蛋白恢复时间和住院天数差异无统计学意义(P>0.05),但是以急性腹膜炎分层分析后腹痛缓解时间、白细胞、超敏C反应蛋白恢复时间和住院天数较常规组均明显减少(P<0.05)。结论十字型引流管较普通负压引流管质量好,不易损坏及堵塞,能够保持良好负压引流状态,加速患者的康复,尤其是合并有急性腹膜炎的较重患者,能缩短住院时间。建议对于病情严重的急腹症患者使用十字型负压引流管。

Objective To analyze and comparison of the clinical effect of cross drainage tube and ordinary negative pressure drainage.Methods To prospective cohort study the clinical data about 500 patients with acute abdomen admitted in general surgical department from december 2017 to december 2019.According to the random number table method and they were evenly divided into two groups with single-blind.The cross drainage tube is applicated in experimental group,the others as control group.The drainage quantity,quality,retention time,abdominal symptoms,leukocyte,drain correlative complications and hospital stay of the two groups were compared.Results The drain correlative complications in the experimental group significantly reduced(P<0.05).The drainage retention time,leukocyte,CRP time and hospital stay of two groups had no difference(P>0.05),but were better than the control group(P<0.05)after stratified analysis with acute peRITonitis.Conclusion The quality of cross drainage tube is better than that of ordinary negative pressure drainage tube.It can maintain a good negative pressure drainage,accelerate the recovery of patients,especially in cRITical patients with acute peRITonitis,can shorten the length of stay.