吸水纤维敷料包扎联合纵剪拆包法在小儿包皮环切术后的应用

Application of Absorbent Fiber Dressing Combined with longitudinal Cutting and Unpacking in Children after Circumcision

目的探讨吸水纤维敷料包扎联合纵剪拆包法在包皮环切术后的应用。方法通过回顾性分析2021年07月至2021年08月在我院因包茎或包皮过长行包皮环切术的4~6岁的患儿临床资料,根据包扎方式不同,分为两组:对照组应用凡士林纱布包扎揭开纱布拆包法,观察组采用吸水纤维敷料包扎联合纵剪拆包法,比较两组术后拆除敷料时的疼痛评分、术后家属满意度、术后并发症发生率等情况。结果研究共纳入100例,其中对照组46例,观察组54例。观察组拆除外敷料疼痛评分、患儿配合度、家属满意度分别为(2.04±0.91)分,70.4%,(4.83±0.38)分,明显优于对照组(5.57±0.93)分,19.6%,(4.35±0.48)分(P<0.05)。观察组的手术时间和术后6小时疼痛评分分别为(7.57±2.65)min和(2.11±0.82)分,与对照组的(7.37±2.25)min和(2.04±0.67)无明显差异(P>0.05)。两组在术后活动性出血、切口感染、切口裂开、水肿、敷料非计划脱落等发生率方面无显著统计学差异,(P>0.05)。结论与凡士林纱布包扎揭开纱布拆包法相比,吸水纤维敷料联合纵切拆包法能够减轻包皮环切术后拆除敷料时的疼痛,提高患儿配合度及家属满意度,改善患儿就医体验,值得临床推广应用。

Objective To explore the application of absorbent fiber dressing combined with longitudinal cutting and unpacking after circumcision.Methods the clinical data of 4~6-year-old children who underwent circumcision due to phimosis or excessive foreskin in our hospital from July 2021 to August 2021 were retrospectively analyzed.According to the different methods of dressing,they were divided into two groups:the control group was wrapped with vaseline gauze and unpacked with uncovering gauze,and the observation group was wrapped with absorbent fiber dressing combined with longitudinal cutting unpacking.The pain score,satisfaction of postoperative family members,and The incidence of postoperative complications.Results 100 cases were included in the study,including 46 cases in the control group and 54 cases in the observation group.The pain score of removing external dressings,the coordination degree of children and the satisfaction of family members in the observation group were(2.04±0.91),70.4%and(4.83±0.38)respectively,which were significantly better than those in the control group(5.57±0.93),19.6%,(4.35±0.48)points(P<0.05).The operation time and 6-hour postoperative pain score of the observation group were(7.57±2.65)min and(2.11±0.82)points,respectively,and there was no significant difference between the observation group and the control group(7.37±2.25)min and(2.04±0.67)(P>0.05).There was no significant difference between the two groups in the incidence of postoperative active bleeding,incision infection,incision dehiscence,edema,unplanned shedding of dressings,etc.(P>0.05).Conclusion compared with the vaseline gauze bandaging and unpacking method,the water absorbing fiber combined with longitudinal cutting unpacking method can reduce the pain when removing the dressing after circumcision,improve the cooperation degree of children and the satisfaction of family members,and improve the medical experience of children,which is worthy of clinical application.