术中生理盐水冲洗切口预防脂肪液化的效果

Effect of intraoperative saline irrigation incision on preventing fat liquefaction

目的观察腹部肥胖患者术中采用生理盐水冲洗切口预防脂肪液化、感染的效果。方法选取2016年1月~2018年12月辽阳中心医院收治的498例需行腹部手术的腹部肥胖患者,按就诊顺序分为生理盐水冲洗组(248例)和常规处理组(250例)。生理盐水冲洗组在术中缝合腹壁肌层后用生理盐水冲洗切口,清除脂肪碎屑直到干净,用无菌纱布吸净切口内生理盐水后缝合。常规处理组进行常规缝合处理。术后观察两组的切口愈合等级和周期、脂肪液化率及感染率。结果生理盐水冲洗组的切口愈合等级优于常规处理组,差异有统计学意义(P<0.05);生理盐水冲洗组伤口愈合周期短于常规处理组,脂肪液化率、感染率低于常规处理组,差异有统计学意义(P<0.05)。结论术中生理盐水冲洗能够促进切口愈合,缩短腹部肥胖患者切口愈合周期,降低切口脂肪液化率和感染率。

Objective To observe the effect of intraoperative saline irrigation incision to prevent fat liquefaction and infection in abdominal obese patients.Methods A total of 498 patients with abdominal obesity who needed abdominal surgery in Liaoyang Central Hospital from January 2016 to December 2018 were selected,and they were randomly divided into the saline washing group(248 cases)and the routine treatment group(250 cases)according to the order of treatment.In the saline washing group,after suturing the abdominal wall,the incision was rinsed with saline to remove the fat debris until it was clean,then sutured after sterile gauze suctioned cleanly saline.In the routine treatment group,routine suture was performed.The wound healing grade and cycle,fat liquefaction rate and infection rate in the two group after operation were observed.Results The grade of wound healing in the saline washing group was better than that in the routine treatment group,there was significant difference(P<0.05).The wound healing cycle of the saline washing group was shorter than that of the routine treatment group,and the fat liquefaction rate and infection rate of the saline washing group were lower than those of the routine treatment group,there were significant differences(P<0.05).Conclusion Intraoperative saline washing can promote incision healing and shorten the incision healing period in abdominal obese patients,reducing incision fat liquefaction rate and infection rate.