自制新型医用压迫带在腹股沟疝修补术后老年患者中的应用

Application of Self-made Medical Compressive Band in the Elderly Postoperative Patients with Inguinal Hernia

目的观察老年患者腹股沟疝修补术后应用自行设计医用压迫带协助压迫伤口的效果。方法选择120例行腹股沟疝修补术的老年患者,按照入院先后顺序分为观察组和对照组各60例。对照组术后常规取1 kg沙袋用无菌治疗巾包裹后直接放在伤口处协助压迫6 h;观察组术后穿着自行设计的医用压迫带,将准备好的1 kg沙袋放入医用压迫带棉布口袋,将口袋拉链封闭,持续固定压迫伤口6 h。观察比较两组患者术后舒适度及阴囊水肿、皮下淤血、疝复发情况,两组患者换药时间、换药次数。结果观察组舒适度明显优于对照组(P<0.01);术后阴囊水肿、皮下淤血、疝复发情况明显少于对照组(P<0.01);换药时间、换药次数明显少于对照组(P<0.01)。结论腹股沟疝修补术后应用自行设计医用压迫带压迫伤口能根据患者卧位、体质量、腹围、压迫需要灵活调整,提高了患者的舒适度,减少术后阴囊水肿、皮下淤血、疝复发等并发症的发生,减轻持续压迫难度,减少换药次数及换药时间,提高工作效率,值得在临床推广应用。

Objective To observe the effect of self-designed medical compressive band to help press the wound for elderly patients undergoing inguinal herniorrhaphy.Methods 120 cases of elderly patients after inguinal herniorrhaphy were divided into observation group in which a self-designed compressive band was used and control group,in which traditional methods of pressing was applied.The comparisons were made about the patients’ comfort,scrotum edema,subcutaneous congestion,the recurrence of inguinal hernia,time and times of dressing change in two groups.Results Patients in observation group felt more comfortable than those in control group（P0.01）,and the incidence of scrotum edema,subcutaneous congestion,and the recurrence of inguinal hernia in observation group was obviously lower than those of control group（P0.01）,and the time and times of dressing change were less than those of control group（P0.01）.Conclusion A self-designed medical compressive band can help press the wound,which is more flexible and comfortable,and reduce the incidence of postoperative complications.