藻酸盐敷料在脊柱后路术后切口脂肪液化中的应用

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1、藻酸盐敷料在脊柱后路术后切口脂肪液化中的应用陈琳高敏（泸州医学院附属医院脊柱外科四川泸州646000）【摘要】目的：观察藻酸盐敷料在脊柱后路术后切口脂肪液化治疗的效果。方法：选择我科2012年2月〜2013年3月脊柱后路手术后切口脂肪液化的患者80例，分为观察组40例和对照组40例，两组均给予预防性抗生素治疗。观察组脂肪液化伤口采用藻酸盐敷料换药，对照组脂肪液化伤口采用10%高渗盐水纱布换药。比较两组的伤口愈合时间、患者疼痛程度、伤口治疗费用，比较差异有无统计学意义。结果：两组患者换药时的疼痛感比较

2、差异有统计学意义（PV0.05）。察组患者切口愈合时间短于对照组切口愈合时间，换药次数、也少于对照组，两组间差异有统计学意义（PV0.05）,治疗费用两组比较无差异。结论：使用藻酸盐敷料治疗脊柱后路术后脂肪液化切口，有利于渗液及伤口床的管理，能显著缩短患者的切口愈合时间和住院时间，值得临床应用推广。【关键词】藻酸盐敷料；脊柱后路切口；脂肪液化【中图分类号】R453【文献标识码】A【文章编号】1007-8231（2015）15-0020-02Alginatedressingsinspinalposte

3、riorpostoperativeapplicationoffatliquefactionofincisionChenLin,Gaomin,TheaffiliatedhospitalofLiuzhoumedicalcollegespinalsurgeryLuzhouSichuan64600China[Abstract】ObjectiveObservethealginatedressingsinthespinalposteriorfatliquefactionofincisionpostoperati

4、vetreatmenteffectMethodsChoosemyfamilyinFebruary2012・March2013spinalposteriorfatliquefactionofincisionof80casesofpatientsafterthesurgery,dividedintoobservationgroupandcontrolgroup,40casesandcontrolgroup40casesinthetwogroupsweregivenprophylacticantibiot

5、ictherapy.Observationgroupthebandagewoundfatliquefactionusingalginatedressings,controlthewoundfatliquefactionby10%hypertonicsailnegauzebandage.Comparisonoftwogroupsofpatientswithwoundhealingtime,thedegreeofpain,thewoundtreatment,comparingdiffereneehave

6、statisticalsignificanee.ResultsPatienttreatmentpainmoresimilarbetweenthetwogroupswasstatisticallysign讦icant(P<0.05).Wasmadeinthegroupofpatientswithincisionhealingofincisionhealingtimewasshorterthancontrolgroup,treatmenttimes,alsolessthanthecontrolgr

7、oup,thedifferencesbetweenthetwogroupshavestatisticalsignificanee(P<0.05),treatmentcostcomparethedifferencesbetweenthetwogroups.ConclusionUsingalginatedressingsspinalposteriorfatliquefactionofincision,postoperativetreatmentisbeneficialtothedrainagean

8、dthemanagementofthewoundbedcansign讦icantlyshortenhealingtimeandhospitalstayinpatientswithincision,worthclinicalpromotion.【Keywords]Alginatedressings.Spinalposteriorincision.Fatliquefaction随着现代生活质量的提高，肥胖患者增加，脊柱后路手术中频繁使用电凝止血，术后切口因脂肪液化的发生率