复方黄柏液涂剂对一次性包皮环切缝合器术后创缘的影响

Effects of compound Huangbai applicator on postoperative wound margin of disposable circumcision suture device

目的观察复方黄柏液涂剂对一次性包皮环切缝合器术后伤口的影响。方法选取2021年6月1日至2021年7月31日在恩施州中心医院男科门诊就诊并行包皮环切术的患者,根据纳入和排除标准筛选出160例符合要求的患者。按照术后护理方法的不同分为对照组80例和试验组80例,对照组患者术后采用高锰酸钾溶液泡洗,试验组患者术后采用复方黄柏液涂剂泡洗。随访1月,对比分析两组患者创缘愈合时间、创缘出血及感染例数、创缘分泌物、创缘疼痛程度、创缘水肿程度的情况。结果试验组患者创缘愈合时间(14.89±1.77)d,对照组患者创缘愈合时间(16.44±1.86)d,差异有统计学意义(P<0.05);试验组感染3例、出血2例,对照组感染10例、出血9例,差异有统计学意义(P<0.05);术后第3天,试验组创缘分泌物量、创缘疼痛程度、创缘水肿程度与对照组比较,差异无统计学意义(P>0.05);术后第6天、9天、12天,试验组创缘分泌物量、创缘疼痛程度、创缘水肿程度均低于对照组,差异有统计学意义(P<0.05)。结论一次性包皮环切缝合器术后应用复方黄柏液涂剂泡洗可以促进创缘快速愈合,同时减轻创缘水肿及疼痛,减少术后出血及感染等情况的发生,值得在临床上推广使用。

Objective To observe the effect of compound Huangbai applicator on the wound of disposable circumcision suture device.Methods Patients who underwent circumcision in the andrology outpatient department of Enshi Central Hospital from June 1,2021 to July 31,2021 were selected,and then 160 patients were enrolled based on the inclusion and exclusion criteria.According to different postoperative nursing methods,the patients were divided into the control group(80 cases)and the experimental group(80 cases).The patients in the control group were washed with potassium permanganate solution after surgery,and the patients in the experimental group with compound Huangbai applicator after surgery.They were followed up for 1 month.The healing time of the wound edge,the number of bleeding and infection cases at the wound edge,the secretion at the wound edge,the degree of pain at the wound edge,the degree of edema at the wound edge of the patients were compared and analyzed between the two groups.Results The wound healing time of the experimental group(14.89±1.77)d was shorter than that of the control group(16.44±1.86)d,and the difference was statistically significant(P<0.05).There were 3 cases of infection and 2 cases of bleeding in the experimental group,and 10 cases of infection and 9 cases of bleeding in the control group had,the difference was statistically significant(P<0.05).On the 3rd day after surgery,there was no significant difference between the experimental group and the control group in the amount of peripheral secretion,peripheral pain and peripheral edema(P>0.05).On the 6th,9th and 12th day after surgery,the amount of traumatic secretions,pain degree and edema degree in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Compound Huangbai applicator can promote the rapid healing of wound margin,reduce edema and pain of wound margin,and reduce the occurrence of postoperative bleeding and infection after use of disposable circumcision suture device,which is worthy of clinical application.