负压引流在长期服用抗血栓药物腹股沟疝手术患者中的应用效果

Negative pressure drainage in patients with inguinal hernia on long-term antithrombotic drugs

摘要:

目的 观察负压引流应用于长期服用抗血栓药物的腹股沟疝患者的疗效。方法 长期服用抗血栓药物的63例腹股沟疝手术患者，随机分为研究组（施行负压引流）和对照组（无负压引流），比较2组患者的手术时间、出血量、住院时间、术后首次下床活动时间以及术后第1、3天疼痛视觉模拟评分（VAS）、术后并发症（手术切口感染、脂肪液化、皮下血肿、血清肿、阴囊积液、血栓）情况以及记录引流管量。结果 研究组患者的住院时间、术后首次下床活动时间均短于对照组（P<0.01或0.05）；术后并发症发生情况总体少于对照组（P<0.01）。结论 负压引流对于长期服用抗血栓药物的腹股沟疝患者具有安全可行的临床疗效，值得推广使用。

Abstract:

Objective To explore the clinical efficacy of negative pressure drainage applied to inguinal hernia patients taking antithrombotic drugs for a long time. Methods 63 surgical patients on long-term antithrombotic medication were randomly divided into study group (negative pressure drainage) and control group (no negative pressure drainage ).The operation time, bleeding volume, hospital stay, time of the first postoperative out-of-bed activity, visual acuity of pain in postoperative day 1 and 3 in the 2 groups were compared. analogue score (VAS), postoperative complications (surgical incision infection, fatty liquefaction, subcutaneous haematoma, seroma, scrotal effusion, thrombosis), and the amount of drains were recorded. Results The hospitalisation time and the first postoperative time to get out of bed of the patients in the study group were shorter than those in the control group(P<0.01 or 0.05); the incidence of postoperative complications was lower than that in the control group(P<0.01). Conclusion Negative pressure drainage has safe and feasible clinical efficacy for patients with inguinal hernia who have been taking antithrombotic drugs for a long time, and it is worth to promote its use.