便携式负压吸引装置在预防结直肠癌开腹术后切口并发症中的应用

Efficacy of portable negative pressure device in reducing wound-related complications after laparotomy for colorectal cancer

目的探讨便携式负压吸引装置在预防结直肠癌患者开腹术后切口并发症中的应用。方法选取2014年12月—2016年5月住院的行开腹肿瘤切除术的结直肠癌患者133例,根据患者病床单双号进行分组,其中病床单号为实验组59例,双号为对照组74例。对照组术后予以常规伤口消毒换药护理,实验组选择置入负压引流装置处理。比较住院期间2组患者切口并发症的发生率,包括脂肪液化、切口感染和切口裂开情况。比较2组更换敷料的次数和术后住院时间。结果实验组术后切口换药次数及脂肪液化率、切口感染率、切口严重疼痛的发生率低于对照组,差异有统计学意义(P<0.05)。结论应用便携式负压吸引装置可有效降低结直肠癌开腹术后切口并发症发生风险,减轻患者痛苦。

Objective To explore the value of the portable negative pressure device in prevention of postoperative wound-related complications for patients with colorectal cancer receiving open surgery. Methods Totally 133 patients with colorectal cancer undergoing laparotomy were enrolled and allocated to study group（ n = 59） and control group（ n = 74）. The study group was treated with portable negative pressure device while the control group was given the routine wound nursing for incisional wound. The incidence of fat liquefaction and infection in the wound,times of wound dressing and the post-operative stay in hospital were observed and compared between two groups. Results The incidence of wound infection,fat liquefaction and severe pain,as well wound dressing frequency,were significantly lower in study group than those of controls（ P〈0. 05）. Conclusion Portable negative pressure device could effectively reduce the risk of wound complications and relieve the pain for patients with colorectal cancer receiving open surgery.