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目的:探讨采用无菌静脉输液管对妇科腹部肥胖Ⅱ类切口进行引流联合局部给氧,预防切口愈合不良的效果。方法:观察组48例,皮下组织采用管壁有侧孔的无菌静脉输液管引流2 d,每天用自制的氧气罩罩在术口上并固定,打开氧气开关,使氧气从氧气管内流入氧气罩并充满整个氧气罩。氧流量为3 L/min,持续给氧30 min/次,共3 d,观察愈合效果,体温及愈合时间。结果:观察组甲级愈合97.92%,7 d内愈合率95.83%,术后3 d内体温<38℃,术后3 d体温正常;对照组甲级愈合84.44%,7 d内愈合率82.22%,有10例术后3 d内体温≥38℃。结论:应用此引流技术联合局部给氧可有效降低切口感染率,促进伤口愈合。
OBJECTIVE: To investigate the effect of using sterile intravenous transfusion tube to drain obstructive type II incision in gynecology abdomen and to prevent partial incision healing. Methods: The observation group of 48 cases, the subcutaneous tissue using the side wall of the tube wall sterile intravenous infusion of drainage 2 d every day with homemade oxygen hood in the mouth and fixed, open the oxygen switch, the oxygen flow from the oxygen tube into the oxygen mask And fill the entire oxygen mask. Oxygen flow of 3 L / min, continuous oxygen 30 min / times, a total of 3 d, observe the healing effect, body temperature and healing time. Results: In the observation group, grade A healed 97.92%, healing rate 95.83% within 7 d, body temperature <38 ℃ within 3 d after operation, normal temperature 3 days after operation; grade A of control group healed 84.44%, healing rate within 7 d 82.22% , 10 cases of postoperative 3 d body temperature ≥ 38 ℃. Conclusion: The combination of local drainage with drainage technology can effectively reduce the incision infection rate and promote wound healing.