不同换药方法对肥胖患者腹部切口脂肪液化的影响 |
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引用本文: | 李震生,周革,陈若冰,宋晓燕.不同换药方法对肥胖患者腹部切口脂肪液化的影响[J].中国现代医生,2012(31):153-154. |
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作者姓名: | 李震生 周革 陈若冰 宋晓燕 |
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作者单位: | [1]辽宁省辽阳市中心医院肿瘤外科,辽宁辽阳111000 [2]辽宁卫生职业技术学院护理系,辽宁沈阳110101 |
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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。
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关 键 词: | 脂肪液化 引流 |
The effects on two dressing changes of abdominal incision fat liquefaction in obese patients |
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Authors: | LI Zhensheng ZHOU Ge CHEN Ruobing SONG Xiaoyan |
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Institution: | 1.Surgical Oneology,Liaoyang Central Hospital,Liaoyang 111000,China; 2.Nursing Department,Liaoning College of Health Vocational Technology, Shenyang 110101, China) |
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Abstract: | 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. |
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Keywords: | Fat liquefaction Drainage |
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