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目的探讨高渗糖胰岛素配合蝶形胶布治疗腹部切口愈合不良的效果。方法实验组(蝶形胶布组)37例,为妇科手术后腹部切口愈合不良,采用局部清创,切口周围注射高渗糖胰岛素,并用蝶形胶布闭合切口。对照组(清创缝合组)为同期腹部切口愈合不良者23例,采用常规清创换药和/或二次缝合术。结果蝶形胶布组伤口愈合率97.3%,1例(2.7%)未愈合,清创缝合组伤口愈合率91.3%,2例(8.7%)未愈合,两组差异无统计学意义,P>0.05;蝶形胶布组平均住院(10.4±1.2)d,清创缝合组平均住院(17.4±2.2)d,两组差异有统计学意义,P<0.01;蝶形胶布组处理伤口的费用平均(108.3±27.1)元,清创缝合组平均(607.9±57.4)元,两组差异有统计学意义,P<0.01。结论高渗糖胰岛素配合蝶形胶布对治疗腹部切口愈合不良有良好的效果,且方法简单易行,已被患者接受,值得临床推广应用。
Objective To investigate the effect of hyperglycemic insulin plus butterfly adhesive tape on the healing of abdominal incision. Methods 37 cases of experimental group (butterfly adhesive tape group), for postoperative gynecological incision poor healing, the use of local debridement, injection of high blood sugar around the incision insulin, and with a butterfly tape closure. Control group (debridement suture group) for the same period of incision in 23 cases of poor incision, using conventional debridement dressing and / or secondary suture. Results The wound healing rate was 97.3% in the butterfly adhesive tape group and 1 case (2.7%) did not heal. The wound healing rate in the debridement and suture group was 91.3% and 2 cases (8.7%), respectively. There was no significant difference between the two groups (10.4 ± 1.2) d in butterfly adhesive tape group and 17.4 ± 2.2 days in debridement and suture group (P <0.01). The cost of the adhesive tape in the adhesive tape group was 108.3 ± 27.1) yuan, the average degeneration and suture group (607.9 ± 57.4) yuan, the difference between the two groups was statistically significant, P <0.01. Conclusion The hyperglycemic insulin plus the butterfly adhesive tape has a good effect on the treatment of poor incision of abdominal incision. The method is simple and easy and has been accepted by patients. It is worthy of clinical application.