[1]李宁,李婉丽,王睿.改良引流技术在骨科术后引流中的应用[J].中医正骨,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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改良引流技术在骨科术后引流中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年09期
页码:
11-13
栏目:
临床研究
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:
李宁1; 李婉丽2; 王睿1
(1.青岛市中心医院,山东 青岛 266042; 2.青岛黄海学院,山东 青岛 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
关键词:
引流术;  手术后并发症
Keywords:
drainage;  postoperative complications
摘要:
目的:探讨改良引流技术在骨科术后引流中的应用价值。方法:回顾性分析1209例骨科术后引流患者的病例资料,其中采用传统引流技术者585例(传统组)、采用改良引流技术者624例(改良组)。男583例,女626例。年龄12～99岁,中位数65岁。比较2组患者引流管拔出困难的发生率。结果:传统组9例引流管拔出困难,其中2例引流管扭曲,适度用力后拔出; 6例引流管部分撕裂,但完整取出; 1例引流管断裂于患者体内,于术后1年行内固定取出术时取出。改良组1例引流管拔出困难,由引流管扭曲所致,适度用力后拔出。传统组引流管拔出困难的发生率高于改良组(χ2=6.922,P=0.009)。结论:骨科术后引流采用改良引流技术,可以降低引流管拔出困难的发生率。
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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备注/Memo

备注/Memo:
通讯作者:王睿 E-mail:William416@163.com(收稿日期:2019-06-21 本文编辑:郭毅曼)
更新日期/Last Update: 2019-09-15