摘要
目的观察不同换药方法对肥胖患者腹部切口脂肪液化发生的影响。方法选择到我院就诊行腹部手术的肥胖患者122例,随机分为脂肪层深部探查组(A组)和常规换药组(B组)。A组在术后2～3 d进行切口脂肪层探查,发现油滴或渗液后放置纱布引流条。B组常规换药治疗。结果 A组未发生脂肪液化,B组脂肪液化发生率为25%,两组差异有统计学意义。结论脂肪层深部探查换药,发现油滴或渗液后提前放置纱布引流条能够减少肥胖患者手术切口脂肪液化的发生。
Objeetive To observe the effect on developing of abdominal incision fat liquefaction between two dressing changes in obese patients. Methods Choose 122 eases of obese patients undergoing abdominal surgery in our hospital, they were randomly divided into the fat layer deep exploration group （A） and conventional dressing group （B） , after 2 to 3 days of the surgery,A group was explored by eutting out the fat layer, if the oil droplets or exudate were found, plaeed gauze drainage strip. Group B was implemented conventional dressing treatment. Results Group A have no fat liquefaction and in group of fatty liquefaction occurred at a rate of 25%,two groups are significantly different. Conclusion The fat layer deep exploration dressing,placing the gauze drainage strip when found oil droplets or exudate in advanee can reduce the incision fat liquefaction oceurred in obese patients.
出处
《中国现代医生》
2012年第31期153-154,共2页
China Modern Doctor
关键词
脂肪液化
引流
Fat liquefaction
Drainage
