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目的探讨腭裂手术松驰切口填塞可吸收止血纱布和填塞碘仿纱条对术后效果的影响。方法选择腭裂手术患者110例,观察组(术中填塞可吸收止血纱布)55例,对照组(术中填塞碘仿纱条)55例,观察患者术后出血情况、体温变化、创口愈合、饮食、术后并发症情况及住院时间。结果两组术后12h内出血差异无统计学意义(P>0.05),12h后继发性出血差异有统计学意义(P<0.05);两组术后前2d体温升高差异无统计学意义(P>0.05),术后第3天开始体温升高差异有统计学意义(P<0.05);观察组术后创口愈合时间、恢复正常饮食时间均早于对照组,且观察组无出现恶心、呕吐症状,住院时间短。结论腭裂手术松驰切口填塞可吸收止血纱布出血少,效果可靠,使用方便,无刺激性无异味,不影响食欲,更有利于患者术后的康复,值得临床推广应用。
Objective To investigate the effect of cleft palate surgery incision incision absorbable hemostatic gauze and stuffing iodoform gauze on postoperative effect. Methods One hundred and ten patients with cleft palate operation, 55 patients with observation group (intraoperative occlusive absorbable hemostatic gauze) and 55 patients with control group (intraoperative stuffing iodoform gauze) were selected. The postoperative bleeding, temperature change, wound healing, diet , Postoperative complications and hospitalization time. Results There was no significant difference in hemorrhage between two groups within 12h after operation (P> 0.05). The difference of hemorrhage after 12h was statistically significant (P <0.05). There was no significant difference between the two groups in the first 2 days after operation (P > 0.05). There was a significant difference in body temperature between the 3rd day and the 3rd postoperative day (P <0.05). The wound healing time and normal diet time in the observation group were earlier than those in the control group, and no nausea and vomiting occurred in the observation group Symptoms, hospitalization time is short. Conclusion Cleft palate surgery incision incision absorbable hemostatic gauze less bleeding, reliable, easy to use, non-irritating odor-free, does not affect the appetite, more conducive to the patient’s recovery, worthy of clinical application.