摘要
目的探讨不缝合皮下脂肪层留置胶管负压引流对2型糖尿病腹部手术切口愈合的影响。方法 2型糖尿病腹部手术80例,按切口缝合方式的不同分为两组:实验组40例,采用不缝合皮下脂肪层留置胶管负压引流。对照组40例采用传统的逐层缝合。治疗前及治疗后第8天检测空腹血糖、餐后2 h血糖、糖化血红蛋白及C-反应蛋白,并观察切口愈合情况。应用SPSS15.0软件,所获数据采用方差分析、t检验和X^2检验。结果两组切口愈合情况比较,P<0.05;两组切口裂开情况比较,P<0.05;两组腹壁缝合时间比较,P<0.0005;两组腹部愈合时间比较,P<0.005。两组治疗前FBG、餐后2 h血糖、Hb ALc、CRP比较,P均>0.05。同组治疗前后对照组FBG、HbALc比较,P>0.05;餐后2 h血糖、CRP比较,P<0.0005。实验组FBG比较,P<0.005;餐后2 h血糖比较,P<0.0005;HbALc、CRP比较,P>0.05。两组治疗后FBG、餐后2 h血糖、HbALc、CRP比较,P均<0.05;两组治疗后CRP比较,P<0.0005。结论不缝合皮下脂肪层留置胶管负压引流皮肤缝合方法能缩短手术时间,减轻组织炎性反应,促进切口愈合。
Objective To investigate the subcutaneous fat layer not lien hose negative pressure drainage in abdominal incision healing effects of type 2 diabetes mellitus. Methods 80 cases with abdominal surgery for type 2 diabetes, according to the different way of incision suture is divided into two groups. Experimental group 40 cases, using the subcutaneous fat layer lien hose negative pressure drainage. Control group 40 cases with traditional layered suture. Before and after treatment on the eighth day detection of fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin, and C-reactive protein, and to observe the healing of incision. Using SPSS15.0 software, the data obtained using analysis of variance, test and χ2test. Results The incision healing of the two groups, P〈0.005. Incision dehiscence case to compare two groups, P〈0.05. Abdominal wall suture time to compare two groups, P〈0.0005. Abdominal healing time to compare two groups, P〈0.005. The two groups before treatment FBG, 2 h postprandial blood glucose, Hb ALc, CRP,P〈0.05. FBG, Hb ALc comparison group before and after treatment control group,P〈0.05. Postprandial blood glucose 2 h,CRP, P〈0.0005. Compared the experimental group FBG, P〈0.005. Postprandial blood glucose 2 h, P〈0.0005. Hb ALc,CRP,P〈0.05. The two groups after treatment of FBG, 2 h postprandial blood glucose, Hb ALc, CRP, P〈0.05. CRP to compare the two groups after treatment P〈0.0005. Conclusion No subcutaneous fat layer lien hose negative pressure drainage skin suture method can shorten the operation time, reduce tissue inflammatory reaction and promote healing of incision.
出处
《菏泽医学专科学校学报》
2017年第1期42-44,62,共4页
Journal of Heze Medical College
关键词
2型糖尿病
腹部
切口愈合
皮下脂肪层
胶管负压引流
Type 2 diabetes
The abdomen
Incision healing
Subcutaneous fat layer
The rubber tube negative pressure drainage
