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目的探讨尿道下裂矫治术后伤口敷料包扎新方法的临床效果。方法将2015年9月—2016年3月80例拟行尿道下裂矫治术的患儿按入院床位的单双号分为对照组和研究组,每组各40例。术后对照组采用传统的尿道下裂手术敷料包扎方式将阴茎直立包扎,研究组采用新的包扎方式让阴茎贴近下腹壁包扎。观察比较两组患儿每次伤口换药耗费的时间和出血量、伤口感染发生率和患儿家属的焦虑评分。结果研究组与对照组每次换药时耗费的时间分别为(21.80±2.54)、(21.45±2.65)min,差异无统计学意义(t=0.614,P=0.541)。研究组与对照组每次换药时伤口出血量分别为(0.74±0.62)、(0.82±0.87)m L,差异亦无统计学意义(t=–0.517,P=0.607)。研究组伤口感染3例,伤口感染率为7.5%;对照组伤口感染2例,伤口感染率为5.0%,两组比较差异无统计学意义(χ2=0.213,P=0.644)。研究组与对照组患儿家属的焦虑评分分别为(1.90±0.11)、(2.50±0.12)分,差异有统计学意义(t=–4.088,P<0.001)。结论尿道下裂敷料包扎的新方法可提升患儿的舒适度,敷料不易松脱,尿管不易打折,护理更方便,减轻了患儿家属的焦虑,值得推广。
Objective To investigate the clinical effect of a new method of wound dressings after hypospadias correction. Methods From September 2015 to March 2016, 80 children who underwent hypospadias correction were divided into control group and study group according to single and double numbers of hospital beds, 40 cases in each group. The control group received conventional hypospadias dressing with the penis straightened. The study group adopted a new dressing method to put the penis close to the abdominal wall. The time spent and the amount of bleeding, the incidence of wound infection and the anxiety score of the family members of children in each group were observed and compared. Results The time spent on dressing change was (21.80 ± 2.54) and (21.45 ± 2.65) min in study group and control group respectively, with no significant difference (t = 0.614, P = 0.541). The wound hemorrhage volume in study group and control group was (0.74 ± 0.62) and (0.82 ± 0.87) m L, respectively, with no significant difference (t = -0.517, P = 0.607). The study group wound infection in 3 cases, the wound infection rate was 7.5%; control group wound infection in 2 cases, the wound infection rate was 5.0%, no significant difference between the two groups (χ2 = 0.213, P = 0.644). The anxiety scores of the family members of the study group and the control group were (1.90 ± 0.11) and (2.50 ± 0.12) points respectively, with significant difference (t = -4.088, P <0.001). Conclusion The new method of dressing hypospadias dressing can improve the comfort of children, the dressing is not easy to loose, the catheter is not easy to discount, care more convenient, reduce the anxiety of children with family members, it is worth promoting.