腹部手术后腹腔粘连预防的临床研究
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摘要
目的探究腹部手术后腹腔粘连的预防方式及其应用效果。方法回顾性分析自2016—2017年在该院接受腹部手术治疗的患者,共计108例,随机将患者分为试验组和对照组两组,各有54例患者,对照组手术完成后对脏器进行生理盐水冲洗,试验组手术结束后关腹前对其应用医用透明质酸钠预防肠粘连,对比两组患者预防肠粘连效果。结果试验组肠鸣音恢复时间:(1.2±0.5)d、腹胀缓解时间:(2.4±0.6)d、肛门排气时间:(1.1±0.4)d、住院时间:(9.4±2.5)d,明显短于对照组(t=10.126 2、P=0.000 1;t=10.598 1、P=0.000 1;t=12.780 8、P=0.000 1;t=5.1015、P=0.000 1);试验组腹腔粘连程度优于对照组,即0级:30例(χ~2=12.623 4、P=0.000 4);Ⅱ级:4例(χ~2=11.188 2、P=0.000 8);Ⅲ级:2例(χ~2=6.000 0、P=0.014 3)。结论对腹部手术患者于术后应用透明质酸钠能够有效降低腹腔粘连发生率,具有理想的腹腔粘连预防效果。
Objective To explore the preventive methods of abdominal adhesion after abdominal surgery and its application effect. Methods A retrospective analysis was made on 108 patients who underwent abdominal surgery in our hospital from 2016 to 2017. The patients were randomly divided into experimental group and control group with 54 patients in each group. The effect of sodium on preventing intestinal adhesion was compared between the two groups. Results The recovery time of bowel sounds in the experimental group(1.2±0.5)d, the time of bloating relief(2.4±0.6)d, the time of anus exhaust(1.1±0.4)d, and the length of hospital stay(9.4±2.5)d, were obviously shorter than those in the control group(t=10.126 2, P=0.000 1; t=10.598 1, P=0.000 1; t=12.780 8, P=0.000 1; t=5.101 5, P=0.000 1). The experimental group had better abdominal adhesion than the control group, ie 0: 30 cases(χ~2=12.623 4, P=0.000 4); grade Ⅱ: 4 cases(χ~2=11.188 2, P=0.000 8); Ⅲ level: 2 cases(χ~2=6.000 0, P=0.014 3). Conclusion The application of sodium hyaluronate after abdominal surgery can effectively reduce the incidence of abdominal adhesions, and has an ideal preventive effect on abdominal adhesions.
Objective To explore the preventive methods of abdominal adhesion after abdominal surgery and its application effect. Methods A retrospective analysis was made on 108 patients who underwent abdominal surgery in our hospital from 2016 to 2017. The patients were randomly divided into experimental group and control group with 54 patients in each group. The effect of sodium on preventing intestinal adhesion was compared between the two groups. Results The recovery time of bowel sounds in the experimental group(1.2±0.5)d, the time of bloating relief(2.4±0.6)d, the time of anus exhaust(1.1±0.4)d, and the length of hospital stay(9.4±2.5)d, were obviously shorter than those in the control group(t=10.126 2, P=0.000 1; t=10.598 1, P=0.000 1; t=12.780 8, P=0.000 1; t=5.101 5, P=0.000 1). The experimental group had better abdominal adhesion than the control group, ie 0: 30 cases(χ~2=12.623 4, P=0.000 4); grade Ⅱ: 4 cases(χ~2=11.188 2, P=0.000 8); Ⅲ level: 2 cases(χ~2=6.000 0, P=0.014 3). Conclusion The application of sodium hyaluronate after abdominal surgery can effectively reduce the incidence of abdominal adhesions, and has an ideal preventive effect on abdominal adhesions.
引文
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[5]姚飞,曹君利,王志萍.右美托咪定预防妇科腹腔镜手术全身麻醉后寒战反应临床研究[J].徐州医学院学报,2016, 36(7):472-474.
[6]吴军.微波治疗预防Ⅱ、Ⅲ类腹部手术切口感染的临床研究[J].现代消化及介入诊疗, 2016, 21(3):411-412.
[7]郝青,刘玮,闫玉洁,等.中西医结合预防老年腹腔镜胆囊切除术患者术后下肢静脉血栓的临床研究[J].陕西中医, 2016, 37(7):884-885.
[8]葛雪梅.腹部手术后粘连性肠梗阻的综合护理干预效果研究[J].中国卫生标准管理,2016,7(6):193-194.
[9]潘一红,程娅,林伟平,等.透明质酸钠凝胶预防妇产科手术后盆腹腔粘连的临床效果观察[J].浙江医学, 2017,39(2):118-119.
[2]洪新如,刘超斌.妇科腹腔镜手术联合防粘连措施预防术后腹腔粘连的发展现状[J].中国内镜杂志, 2016, 22(9):88-91.
[3]汪远焱,杨先海.腹腔镜胆囊手术中胆道意外损伤的预防及临床处理[J].检验医学与临床, 2017, 14(10):1501-1503.
[4]吴志民,崔宏力,刘国辉.透明质酸钠羧甲基纤维素预防术后腹膜粘连的最佳剂量筛选及机制研究:随机对照实验方案[J].中国组织工程究,2016,20(3):418-422.
[5]姚飞,曹君利,王志萍.右美托咪定预防妇科腹腔镜手术全身麻醉后寒战反应临床研究[J].徐州医学院学报,2016, 36(7):472-474.
[6]吴军.微波治疗预防Ⅱ、Ⅲ类腹部手术切口感染的临床研究[J].现代消化及介入诊疗, 2016, 21(3):411-412.
[7]郝青,刘玮,闫玉洁,等.中西医结合预防老年腹腔镜胆囊切除术患者术后下肢静脉血栓的临床研究[J].陕西中医, 2016, 37(7):884-885.
[8]葛雪梅.腹部手术后粘连性肠梗阻的综合护理干预效果研究[J].中国卫生标准管理,2016,7(6):193-194.
[9]潘一红,程娅,林伟平,等.透明质酸钠凝胶预防妇产科手术后盆腹腔粘连的临床效果观察[J].浙江医学, 2017,39(2):118-119.