医用胶在头皮裂伤中应用的可行性研究

发布时间：2018-02-27 05:20

本文关键词： 创伤和损伤头皮裂伤医用胶伤口缝合技术　出处：《中国全科医学》2017年05期 　论文类型：期刊论文

【摘要】：目的通过比较医用胶和常规清创缝合在头皮裂伤处理时的优劣,探讨医用胶在头皮裂伤中应用的可行性。方法选取2015年7月—2016年7月在西南医科大学附属医院急诊医学部就诊的头皮裂伤患者152例,采用随机数字表法将患者分为对照组(n=73)和观察组(n=79)。对照组采用常规局部麻醉下清创缝合,观察组采用头发交织加医用胶粘合创口。记录两组手术时间、疼痛程度、总费用及满意度。结果观察组手术时间(9.5±2.7)min短于对照组的(14.5±3.5)min,视觉模拟评分(VAS)3(0,4)分低于对照组的5(2,8)分,总费用560(560,588)元高于对照组的318(300,330)元,差异均有统计学意义(P0.05)。对照组不满意22例(30.1%),比较满意32例(43.8%),满意19例(26.1%);观察组不满意5例(6.3%),比较满意20例(25.3%),满意54例(68.4%)。两组患者满意度比较,差异有统计学意义(U=30.064,P0.001)。结论医用胶粘合头皮具有手术时间短,疼痛程度轻,尽管总费用较常规清创高,但患者满意度较高。医用胶在处理头皮裂伤具有可行性,适合临床推广使用。
[Abstract]:Objective to compare the advantages and disadvantages of medical glue and conventional debridement suture in the treatment of scalp laceration. To explore the feasibility of the application of medical glue in scalp laceration, 152 cases of scalp laceration were selected from July 2015 to July 2016 in the emergency department of medicine, affiliated Hospital of Southwest Medical University. The patients were divided into two groups by random digital table: the control group was divided into two groups: the control group and the observation group. The patients in the control group were treated with debridement and suture under conventional local anesthesia, while the patients in the observation group were treated with interlaced hair and medical glue. The time of operation and the degree of pain in the two groups were recorded. Results the operating time of the observation group was 9.5 卤2.7 minutes shorter than that of the control group (14.5 卤3.5 min), and the visual analogue score (VAS) was significantly lower than that of the control group (50.28%), and the total cost of the observation group (560,560,588) yuan was higher than that of the control group (318300330yuan). The difference was statistically significant (P 0.05). The control group was not satisfied with 22 cases with 30.1%, 32 cases with 43.8% and 19 cases with 26.1 cases. The observation group was dissatisfied with 5 cases with 6.3C, 20 cases with 25.3C and 54 cases with 68.4%. Conclusion Medical adhesive scalp has shorter operation time and less pain, although the total cost is higher than that of conventional debridement, the patient satisfaction is higher. Medical glue is feasible in the treatment of scalp laceration. Suitable for clinical application.
【作者单位】：西南医科大学附属医院急诊医学部;川北医学院附属医院;四川省泸州市中医医院;
【分类号】：R641

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