摘要
目的探讨医用蛋白生物胶在混合痔PPH手术中的应用价值。方法选择2009年1月至2012年12月期间我科收治的因不同期混合痔出血、脱出等症状接受PPH手术治疗的患者共80例,根据患者入院顺序单双号,将患者随机均分为对照组和观察组两组,每组各40例。对照组患者PPH术后常规置凡士林纱布于吻合口处,观察组患者PPH术后先喷涂医用生物蛋白胶于吻合口处,再放置凡士林纱布。术后给予两组患者同样的观察护理。比较两组术后吻合口出血发生率,术后吻合口感染发生率以及住院时间。结果对照组术后吻合口出血发生率为20.0%(8/40),观察组为2.5%(1/40),组间比较差异具有统计学意义(χ2=6.135,P<0.05);对照组术后吻合口感染发生率为15.0%(6/40),观察组为0.0%,组间比较差异具有统计学意义(χ2=6.486,P<0.05);对照组患者住院时间为(4.9±2.1)d,观察组为(4.1±1.7)d,组间比较差异具有统计学意义(t=2.456,P<0.05)。结论在PPH术后吻合口处喷涂医用生物胶,可帮助吻合口愈合,减少术后吻合口出血和感染几率,缩短住院时间。
Objective To observe the clinical value of medicinal albumin gel in PPH for mixed hemorrhoid. Methods 80 patients with mixed hemorrhoid in our hospital from January 2009 to December 2012 were divided into the control group （n = 40） and observation group （n = 40）. All patients were treated with PPH, and patients in control group were stuffed with vaseline gauze routinely, while patients in observation group were sprayed with medicinal albumin gel on their stoma sites before stuffed with vaseline gauze routinely. All patients received the same postoperative nursing and observation. The postoperative stoma bleeding rate, stoma infection rate and hospital stay time were compared between two groups. Results Patients in observation group showed less postoperative stoma bleeding rate （2.5% vs. 20.0%, χ2 = 6.135, P〈0.05）, less stoma infection rate （0.0% vs. 15.0%, χ2 = 6.486, P〈0.05） and shorter hospital stay time （4.1 d ± 1.7 d vs. 4.9 d ± 2.1 d, t = 2.456, P〈0.05）. Conclusions Spraying the medicinal albumin gel on stoma site before stuffing vaseline gauze after PPH can help to reduce the postoperative stoma bleeding rate, stoma infection rate, and duration of hospital stay time.
出处
《临床医学工程》
2013年第6期673-674,共2页
Clinical Medicine & Engineering
基金
广州市越秀区科技局立项项目[2010-s-06-010]
