引流辅助装置在腹部外科手术中的应用研究

Clinical application of self-developed drainage fixing devices in abdominal surgery

目的探讨腹部外科手术中应用自行研制的引流辅助装置在临床应用的可行性。方法从2015年3月至2016年10月采用临床随机对照研究方法,选取524例进行腹部手术后安置腹盆腔引流管患者,随机分为两组,装置固定组应用引流管辅助装置行腹腔引流管固定(264例),缝合固定组采用传统皮肤缝线固定引流管方式(260例)。运用SPSS 19.0软件进行对比分析,引流管操作数据以均数±标准差表示,采用t检验;疼痛分级、并发症等计数资料采用χ2检验,P<0.05表示差异有统计学意义。结果装置固定组引流管调整时间为(30±10.8)s,明显短于缝合固定组的调整时间(571±410.2)s(P<0.05);装置固定组疼痛评分(3.3±3.91)分,而缝合固定组(4.7±4.02)分,装置固定组优于缝合固定组(P<0.05);同时引流管堵塞率、调整困难,感染,置管时间,肠梗阻,电解质紊乱等的发生率也显著降低(P<0.01),装置固定组无引流管断裂、拔出困难、二次手术等并发症情况。结论引流管辅助装置在术后操作相对简单、方便,一定程度上减轻了患者痛苦。同时因引流管安置造成的相关不良反应及并发症发生率也明显降低,在临床上有较高的应用价值。

Objective To explore the feasibility of self-developed fixing drainage devices in abdominal surgery. Methods From March 2015 to October 2016, 524 patients underwent abdominal surgery, were randomly divided into experimental group （264 cases） and control group （260 cases）.In experimental group self-developed drainage fixing devices were applied , while drainage tube was fixed by using traditional method in control group . Clinical data were analyzed by using statistical software SPSS 19.0.Measurement data such as fixing drainage device indicators were expressed as mean ±standard deviation （-x ±s）, and were examined by using t test.Count data, such as postoperative complication and pain level were examined by using χ2 test.A P value 〈0.05 was considered as statistically significant difference. ResultsIn experimental group, the drainage adjusting time of （30 ±10.8） s, was significantly shorter than （571 ±410.2） s in control group （P 〈0.01） , while lighter pain level could be observed （3.3 ±3.91 vs 4.7 ±4.02, P 〈0.01）.There were lower rate of infection, intestinal obstruction, drainage tube falls off in experimental group, compared with control group （P 〈0.01）.There no complications of drainage tube rupture, extraction difficulty and secondary operation in experimental group . Conclusion The self-developed fixing drainage devices is relatively simple and convenient , which alleviates pain and decreases the incidence complications caused by drainage tube , with potential application value in clinic .