高真空负压引流瓶在腮腺手术术后的运用及护理

Application of high vacuum drainage after parotid surgery and postoperative nursing measures

目的探讨高真空负压引流瓶在腮腺手术术后护理中运用的优越性。方法对56例腮腺手术患者中的24例采用高真空负压引流瓶,通过观察术后不同引流方式患者引流液状况及术后皮下积液、感染率、涎瘘、疼痛评分、满意度等指标,对比普通负压引流球,观察其优越性。结果使用高真空负压引流瓶组的患者术后皮下积液、切口感染率及涎瘘发生率与使用普通负压引流球的患者比较差异无统计学意义,疼痛评分、舒适度的差异则有统计学意义(P<0.05)。结论使用高真空负压引流瓶组和普通负压球的患者在术后皮下积液、切口感染率、涎瘘发生率等方面均无显著差异,但高真空负压引流瓶组患者术后舒适度、疼痛评分较普通组有明显改善。

Objective To evaluate the advantage of high vacuum drainage in postoperative nursing after parotid surgery. Methods 24 cases among 56 patients receiving parotid surgery were applied high vacuum drainage. Postoperative drainage fluid condition,seroma,infection rate,salivary fistula,pain scores and patient satisfaction were observed and the effects of ordinary and high vacuum drainage were compared. Results There was no significant difference between ordinary and high vacuum groups in subcutaneous hydrops,infection rate and salivary fistula postoperatively,but the pain scores and patient satisfaction differed between two groups. Conclusion High vacuum drainage does not have impact on subcutaneous hydrops,infection rate and salivary fistula postoperatively,but significantly comforts the patients and improves pain scores compared with ordinary group.