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[1]李寧,李婉麗,王睿.改良引流技術(shù)在骨科術(shù)后引流中的應(yīng)用[J].中醫(yī)正骨,2019,31(09):11-13.
　LI Ning,LI Wanli,WANG Rui.Application of modified drainage technique to the drainage after orthopedic surgery[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(09):11-13.
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改良引流技術(shù)在骨科術(shù)后引流中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年09期
頁碼:
11-13
欄目:
臨床研究
出版日期:
2019-09-20

文章信息/Info

Title:
Application of modified drainage technique to the drainage after orthopedic surgery
作者:
李寧1; 李婉麗2; 王睿1
(1.青島市中心醫(yī)院,山東 青島 266042; 2.青島黃海學(xué)院,山東 青島 266427)
Author(s):
LI Ning1; LI Wanli2; WANG Rui1
1.Qingdao Central Hospital,Qingdao 266042,Shandong,China 2.Qingdao Huanghai University,Qingdao 266427,Shandong,China
關(guān)鍵詞:
引流術(shù);  手術(shù)后并發(fā)癥
Keywords:
drainage;  postoperative complications
摘要:
目的:探討改良引流技術(shù)在骨科術(shù)后引流中的應(yīng)用價(jià)值。方法:回顧性分析1209例骨科術(shù)后引流患者的病例資料,其中采用傳統(tǒng)引流技術(shù)者585例(傳統(tǒng)組)、采用改良引流技術(shù)者624例(改良組)。男583例,女626例。年齡12～99歲,中位數(shù)65歲。比較2組患者引流管拔出困難的發(fā)生率。結(jié)果:傳統(tǒng)組9例引流管拔出困難,其中2例引流管扭曲,適度用力后拔出; 6例引流管部分撕裂,但完整取出; 1例引流管斷裂于患者體內(nèi),于術(shù)后1年行內(nèi)固定取出術(shù)時(shí)取出。改良組1例引流管拔出困難,由引流管扭曲所致,適度用力后拔出。傳統(tǒng)組引流管拔出困難的發(fā)生率高于改良組(χ2=6.922,P=0.009)。結(jié)論:骨科術(shù)后引流采用改良引流技術(shù),可以降低引流管拔出困難的發(fā)生率。
Abstract:
Objective:To explore the applied values of modified drainage technique in the drainage after orthopedic surgery.Methods:The medical records of 1209 patients who received drainage after orthopedic surgery were analyzed retrospectively.Five hundred and eighty-five patients were treated with traditional drainage technique(traditional group),while the others were treated with modified drainage technique(modified group).The patients consisted of 583 males and 626 females,and ranged in age from 12 to 99 years(Median=65 yrs).The incidence of extubation difficulty was compared between the 2 groups.Results:The extubation difficulties caused by twist(2),partial rupture(6)and complete rupture(1)of drainage tube were found in 9 patients in traditional group.The twisted drainage tubes were pulled out with moderate strength and the partially ruptured drainage tubes were fetched out completely,while the complete ruptured drainage tube which remained in the patient's body was taken out 1 year later when internal fixation removal surgery was performed.The extubation difficulty caused by twist of drainage tube was found in 1 patient in modified group,and the twisted drainage tube was pulled out with moderate strength.The incidence of extubation difficulty was higher in traditional group compared to modified group(χ2=6.922,P=0.009).Conclusion:Modified drainage technique can reduce the incidence of extubation difficulty after orthopedic surgery.

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備注/Memo

備注/Memo:
通訊作者:王睿 E-mail:[email protected](收稿日期:2019-06-21 本文編輯:郭毅曼)
更新日期/Last Update: 2019-09-15