两种减张缝合法用于急诊开腹手术的临床对比研究

Conventional and modified tension suture methods applied to emergency laparotomy:a comparative study

目的探讨传统与改进式减张缝合法用于急诊开腹手术临床疗效及安全性差异。方法 130例急诊开腹手术患者随机分为对照组和试验组各65例,分别采用传统和改进式减张缝合法完成手术;比较两组患者首次下床活动时间、胃肠功能恢复时间、术后24小时VAS评分、切口愈合效果及术后并发症发生率等。结果试验组患者首次下床活动时间、胃肠功能恢复时间、术后24小时VAS评分及术后切口愈合效果均显著优于对照组(P<0.05);2组患者术后并发症发生率差异无统计学意义(P>0.05)。结论改进式减张缝合法用于急诊开腹手术可显著缩短术后机体康复所需时间,降低患者术后疼痛程度,促进手术切口愈合,且未导致术后并发症风险上升。

Objective To investigate the clinical effects and safety differences of conventional and modified tension suture method in the treatment of patients undergoing emergency laparotomy. Method 130 patients undergoing emergency laparotomy were chosen and randomly divided into a control group （ n = 65） and an experimental group （ n = 65 ）. The control group were treated with conventional tension suture method while the experiment group with modified tension suture method. The ambulation time, the gastrointestinal function recovery time, the postoperative VAS score as achieved 24 hours after operation, the wound healing effects and the complication incidence after operation in both groups were compared. Findings The ambulation time, gastrointestinal function recovery time and postoperative VAS score and the wound healing effects of the experiment group were significantly better than those of the control group （P〈0.05）. No significant difference was found in the complications incidence after operation between the 2 groups （P〈0.05）. Conclusion Modified tension suture method in the treatment of patients undergoing emergency laparotomy can efficiently shorten the postoperative rehabilitation time, reduce the postoperative pain degree, promote the wound healing process and reduce risk of postoperative complications.