摘要
目的:比较青海地区开颅患者,选用皮肤钉合器缝合和传统丝线缝合头皮后,在缝合速度以及术后恢复情况的不同。方法:收集2020年12月~2021年7月青海省人民医院和青海大学附属医院因颅脑外伤进行开颅手术患者60例。A组为传统丝线缝合30例患者;B组为皮肤钉合器缝合30例患者,比较切口缝合速度、第5天间断拆钉及拆钉切口裂开情况、第10天完全拆线和拆钉后愈合情况、完全拆线和拆钉时疼痛指标,回访对比切口拆线或拆钉后1个月切口局部情况。结果:切口缝合速度:A组7.4 ±0.15 cm/min,B组44.4 ±0.52 cm/min。第5天间断拆钉及拆钉切口裂开比例:A组63.34%,B组26.67%。第10天完全拆线和拆钉后甲级愈合比例:A组73.34%,B组93.34%。完全拆线和拆钉时疼痛可耐受比例:A组80.01%,B组100%。回访对比切口拆线或拆钉后1个月切口炎性比例:A组36.67%,B组6.67%。2组间本次样本所有观察指标,P 【0.05,差异均具有统计学意义。结论:传统丝线缝合,炎性反应较大,缝合速度较慢,很大程度上会引起切口不适,并且对于患者术后美观影响较大。皮肤钉合器缝合皮肤,操作简单,缝合迅速,炎性反应发生率较低,可以节省大量时间,在青海地区神经外科开颅手术中值得推广。
Objective: The objective is to compare the different suture speeds and postoperative recovery of craniotomy patients in Qinghai province after using skin stapler to suture the scalp and traditional silk thread to suture the scalp. Methods: A total of 60 patients with craniotomy due to craniocerebral trauma were collected from Qinghai Provincial People’s Hospital and Affiliated Hospital of Qinghai University from December 2020 to July 2021. Group A consisted of 30 patients with traditional suture. In group B, 30 patients were sutured with skin stapler. The incision suture speed, discontinuous suture removal and incision dehashing on day 5, complete suture removal and postoperative suture healing on day 10, pain indexes during complete suture removal and postoperative suture removal were compared, and the local incision conditions at 1 month after suture removal or postoperative suture removal were compared in a follow-up visit. Results: The suture speed was 7.4 ±0.15 cm/min in group A and 44.4 ±0.52 cm/min in group B. On the 5th day, the ratio of split of discontinuous nail removal and incision was 63.34% in group A and 26.67% in group B. On the 10th day, the rate of grade A healing after complete removal of stitches and nails was 73.34% in group A and 93.34% in group B. The tolerable ratio of pain during complete suture removal and nail removal was 80.01% in group A and 100% in group B. The inflammatory rate of incision one month after suture removal or nail removal was compared in follow-up visit: 36.67% in group A and 6.67% in group B. All observation indicators of the sample between the two groups showed statistically significant differences (P <0.05). Conclusion: The traditional silk suture has a large inflammatory reaction and slow suture speed, which will cause incision discomfort to a large extent, and has a great influence on postoperative aesthetics of patients. The skin stapler is simple in operation, quick in suture, low in the incidence of inflammatory reaction, and can save a lot of ti
出处
《临床医学进展》
2021年第9期4144-4148,共5页
Advances in Clinical Medicine
