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基于变胞机构的阴囊术后专用包扎系统临床应用的疗效观察
引用本文:史朝亮,焦伟,王曦龙,李俊宏,余皖东,施国伟,王阳贇.基于变胞机构的阴囊术后专用包扎系统临床应用的疗效观察[J].中华男科学杂志,2020(4):321-325.
作者姓名:史朝亮  焦伟  王曦龙  李俊宏  余皖东  施国伟  王阳贇
作者单位:1.复旦大学附属上海市第五人民医院泌尿外科
基金项目:上海市医学重点专科(ZK2019A03);闵行区科委课题(2017MHZ57);上海市卫健委卫生行业临床研究专项课题(201940006)。
摘    要:目的:将基于变胞机构的阴囊术后专用包扎系统应用在阴囊术后的患者中,促进患者手术预后,提高患者舒适度。方法:选取2017年6月至2018年6月收治的48例阴囊术后患者为对照组,2018年7月至2019年6月收治的48例阴囊术后患者为观察组。对照组使用传统包扎换药方法,观察组采用基于变胞机构的阴囊术后专用包扎系统进行包扎换药,观察两组患者阴囊水肿情况、疼痛评分、住院天数、患者满意度、医护人员平均换药总时间等指标的差异。结果:术后24 h,两组患者阴囊水种情况相比,差异无统计学意义(P>0.05);术后48 h(1.42±0.5 vs 2.27±0.7)、72 h(1.35±0.2 vs 2.25±0.7),观察组患者阴囊水肿情况明显轻于对照组,差异有统计学意义(P<0.05);干预后两组患者的疼痛评分(2.2±1.0 vs 3.4±1.5)、住院时间(5.96±1.2) dvs(9.13±2.3) d]、住院患者满意度评分(98.1±1.6 vs 92.8±2.8)相比,观察组明显优于对照组,并且差异有统计学意义(P<0.05)。术后24、48、72 h,观察组患者换药时间均明显低于对照组,差异有统计学意义(P<0.05)。结论:基于变胞机构的阴囊术后专用包扎系统使用安全有效,包扎简单易行,能有效提升患者康复效率,提升患者生活质量,值得临床推广。

关 键 词:变胞机构  阴囊手术  术后护理

Application value of a metamorphic mechanism-based special dressing system for patients after scrotal surgery
SHI Chao-liang,JIAO Wei,WANG Xi-long,LI Jun-hong,YU Wan-dong,SHI Guo-wei,WANG Yang-yun.Application value of a metamorphic mechanism-based special dressing system for patients after scrotal surgery[J].National Journal of Andrology,2020(4):321-325.
Authors:SHI Chao-liang  JIAO Wei  WANG Xi-long  LI Jun-hong  YU Wan-dong  SHI Guo-wei  WANG Yang-yun
Institution:(Department of Urology,Shanghai Fifth Peoples Hospital,Fudan University,Shanghai 200240,China)
Abstract:Objective: To investigate the application of a metamorphic mechanism-based special dressing system(MMDS) in improving the prognosis and comfort of the patient after scrotal surgery. Methods: We included 48 cases of scrotal surgery using the traditional method for postoperative dressing from June 2017 to June 2018(the control group) and another 48 cases employing MMDS postoperatively from July 2018 to June 2019(the MMDS group). We observed the differences between the two groups of patients in the incidence of scrotal edema, pain score, hospitalization days, patients’ satisfaction, and dressing time. Results:The scrotal edema score showed no statistically significant difference between the MMDS and control groups at 24 hours after operation(P > 0.05) but remarkably lower in the former than in the latter group at 48 hours(1.42 ± 0.5 vs 2.27 ± 0.7, P < 0.05) and 72 hours postoperatively(1.35 ± 0.2 vs 2.25 ± 0.7, P < 0.05). The MMDS group, compared with the controls, also exhibited a lower pain score(2.2 ± 1.0 vs 3.4 ± 1.5, P < 0.05), shorter hospitalization time(5.96 ± 1.2] vs 9.13 ± 2.3] d, P < 0.05) and higher satisfaction score(98.1 ± 1.6 vs 92.8 ± 2.8, P < 0.05), as well as shorter dressing time at 24, 48 and 72 hours after operation(P < 0.05). Conclusion: The metamorphic mechanism-based special dressing system is a safe, efficient, simple and feasible method for dressing after scrotal surgery, which can effectively promote recovery and improve the quality of life of the patients.
Keywords:metamorphic mechanism  scrotal surgery  postoperative care
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