摘要目的 探讨不同皮肤切开方式对腹部手术切口愈合的效果。方法 选取2016年9月～2017年6月我院收治的120例行腹部手术的患者作为研究对象，按照随机数字表法分为A、B、C三组，每组各40例。A组患者采用手术刀切开皮肤；B组患者采用手术刀切开表皮和真皮，电刀切开真皮以下组织；C组患者采用手术刀切开表皮，电刀切开表皮以下皮肤及组织。采用视觉模拟评分（VAS）评估并比较三组患者术后切口疼痛情况；比较三组患者的并发症总发生率；采用温哥华瘢痕评估量表（POSAS）评估并比较患者术后6个月切口恢复情况。结果 三组患者术后48 h VAS评分低于同组术后24 h VAS评分，差异均有统计学意义（P＜0.05）；三组患者术后24、48 h VAS评分比较，差异无统计学意义（P＞0.05）。三组患者的并发症总发生率比较，差异无统计学意义（P＞0.05）。三组患者术后6个月的切口色泽、血管分布、厚度以及疼痛评分比较，差异无统计学意义（P＞0.05）；C组柔软性评分和瘙痒程度评分低于A、B组，差异均有统计学意义（P＜0.05）。结论 采用电刀进行真皮及真皮下脂肪组织的切开会降低患者的切口疼痛程度，且术后切口柔软性较好，瘙痒程度较低，值得临床应用及推广。
Abstract：Objective To explore the effeet of different skin ineision methods in the healing of abdominal surgieal ineision.Methods A total of 120 patients with abdominal surgery in our hospital from September 2016 to June 2017 were seleeted as the researeh objeets，they were divided into three groups A，B and C aeeording to the random number table method，with 40 eases in eaeh group.Patients in group A were treated with sealpel to eut the skin，patients in group B the epidermis and dermis were ineised with surgieal knife，and the tissue below dermis was ineised with eleetrie knife，the surgieal knife was used to eut the epidermis in group C，eleetrie knife was used to eut the skin and tissue below the epidermis.Visual analogue seale（VAS）was used to evaluate and eompare the postoperative ineision pain of the three groups.The total ineidenee of eomplieations among the three groups were eompared.The vaneouver sear assessment seale（POSAS）was used to evaluate and eompare the wound reeovery at 6 months after operation.Results The VAS seores of the three groups at 48 hours after operation were lower than those of the same group at 24 hours after operation，the differenees were statistieally signifieant（P＜0.05）.There were no signifieant differenees in VAS seores among the three groups at 24 and 48 hours after operation（P＞0.05）.There was no signifieant differenee in the total ineidenee of eomplieations among the three groups（P＞0.05）.There was no signifieant differenee in ineision eolor，vaseular distribution，thiekness and pain seore among the three groups at 6 months after operation（P＞0.05）.The seores of softness seore and pruritus seore in group C were lower than those in group A and B，the differenees were statistieally signifieant（P＜0.05）.Conclusion The use of eleetrie knife for dermal and subdermal adipose tissue ineision ean reduee the degree of ineision pain，and the postoperative ineision is soft and itehy，whieh is worthy of elinieal applieation and promotion.
邢专. 不同皮肤切开方式对腹部手术切口愈合效果的临床研究[J]. 中国当代医药, 2019, 26(1): 52-54.
XING Zhuan. Clinical study on the effect of different skin incisions in the healing of abdominal surgical incisions. 中国当代医药, 2019, 26(1): 52-54.
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