成人近端型尿道下裂患者术后应用高锰酸钾溶液冲洗的护理

Nursing of adult patients with proximal type hypospadias using potassium permanganate for postoperative flushing

目的 探讨高锰酸钾溶液在成人近端型尿道下裂患者中预防和减少术后并发症的效果观察.方法 将100例16岁以上的成人尿道下裂患者根据入院顺序,按照单、双床号分为观察组和对照组各50例.观察组患者术后3d用1：10000浓度的高锰酸钾溶液冲洗阴茎及阴囊的手术切口,并暴露术区;对照组患者术后使用传统方法,应用凡士林油纱环形包扎术区.比较2组的术后效果.结果 观察组患者术后第5天临床症状比对照组明显减轻,第7天切口感染、尿瘘的发生率明显减少,甲级愈合率高于对照组,差异均有统计学意义.结论 成人近端型尿道下裂患者术后3d开始应用1：10 000浓度的高锰酸钾溶液冲洗术区,有效地促进了切口的愈合,且操作方法简单易行,成本低,经济实用,值得推广.

Objective To study the effect of potassium permanganate flushing in adult proximal type hypospadias patients in preventing and reducing the postoperative complications.Methods 100 cases of hypospadias in adults over the age of 16 patients according to admission order and the single or double bed number,divided into the observation group （50 cases） and the control group （50 cases）.The observation group used 1：10 000 concentration of potassium permanganate solution to wash the penis and scrotum incision three days post-operation,and exposed the operation area.The control group used traditional methods,with application of vaseline oil gauze to circularly bandage the area.Results The clinical symptoms of the observation group obviously improved 5 day postoperation,and the incidence of incision infection,urinary fistula also reduced 7 days postoperation,but the class A healing rate was higher compared with those of the control group.Conclusions Using 1：10 000 concentration of potassium permanganate solution for flushing in adult patients with proximal type hypospadias three days postoperatively can effectively promote the healing of the incision,and the operation method is simple,low-cost,economic and practical,which is worth being promoted.