安永慧;赵金彩;何丽英;刘俊英;

• 1:河北医科大学第三医院

摘要(Abstract)：

[目的]分析腰椎管狭窄症术后患者伤口采用不同引流方法的效果,探讨腰椎管狭窄症患者术后伤口引流的有效管理策略。[方法]回顾性分析2014年1月~2015年1月我院脊柱外科行单节段腰椎后路全椎板切除减压、椎间植骨融合内固定术的96例腰椎管狭窄症患者,男41例,女55例。根据术后伤口引流方式分为两组:一组为持续负压组,共48例,术后伤口引流使用一次性引流器,给予负压(1/2个大气压);另一组为交替压力组,共48例,术后24 h之内伤口引流使用一次性引流器,给予负压吸引,24 h之后更换为一次性引流袋,给予常压。分析两组患者术后总引流量(ml)、卧床时间、视觉疼痛模拟评分(VAS)。[结果]术后伤口总引流量持续负压组为(329.52±85.23)ml,交替压力组为(195.43±38.57)ml,两组患者差异有统计学意义(P<0.001)。卧床时间持续负压组患者为(5.30±1.69)d,交替压力组患者为(5.16±2.14)d,两组差异无统计学意义(P=0.585)。两组患者VAS评分术后均较术前显著下降,两时间点间差异均有统计学意义(P<0.05),但相同时间点两组间比较差异均无统计学意义(P>0.05)。[结论]腰椎管狭窄症术后采用负压引流和交替压力引流均能获得较好的下腰痛疼痛缓解率,而采用交替压力引流,术后总引流量少,是一种较好的术后引流方式。

关键词(KeyWords)： 腰椎管狭窄症;持续负压;交替压力;引流

Abstract:

Keywords:

基金项目(Foundation): 河北省卫生厅科研项目资助(编号:ZL20140088)

作者(Author): 安永慧;赵金彩;何丽英;刘俊英;

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DOI:

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