[1]张成书,狄海萍,赵国凯,等.改良静脉留置针穿刺法耳孔成形术临床效果观察[J].中国美容医学,2023,(5):40-43.
　ZHENG Chengshu,DI Haiping,ZHAO Guokai,et al.Clinical Effect of Auricular Puncture with Improved Venous Indwelling Needle[J].Medical Aesthetics and Beauty,2023,(5):40-43.
点击复制

改良静脉留置针穿刺法耳孔成形术临床效果观察()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年5期
页码:
40-43
栏目:
出版日期:
2023-05-10

文章信息/Info

Title:
Clinical Effect of Auricular Puncture with Improved Venous Indwelling Needle
文章编号:
1008-6455（2023）05-0040-04
作者:
张成书1 ; 狄海萍2 ; 赵国凯1 ; 李 恒1 ; 王 俊1 ; 程 定1 ; 崔树英1
(1.平煤神马医疗集团总医院整形烧伤科 河南 平顶山 467000 ;2.郑州市第一人民医院烧伤科 河南 郑州 450000 )
Author(s):
ZHENG Chengshu1 ; DI Haiping2 ; ZHAO Guokai1 ; LI Heng1 ; WANG Jun1 ; CHENG Ding1 ; CUI Shuying1
(1.Department of Plastic Surgery and Burn,General Hospital of Pingmei Shenma Medical Group,Pingdingshan 467000,Henan,China; 2.Department of Burns,Zhengzhou First People’s Hospital,Zhengzhou 450000,Henan,China)
关键词:
耳孔成形术; 改良静脉留置针穿刺法; 耳钉枪穿刺法; 瘢痕; 感染?/html>
Keywords:
pierced ear;  improved intravenous indwelling needle puncture method;  ear nail gun piercing;  scar;  infected
分类号:
R619+ .6
文献标志码:
A
摘要:
目的：初步探讨改良静脉留置针穿刺法耳孔成形术的有效性和安全性。方法：选取平煤神马医疗集团总医院整形 烧伤科2015年1月-2021年12月收治的耳孔成形术者106例。将研究对象使用随机数字法分为治疗组（改良静脉留置针穿 刺法）和对照组（耳钉枪穿刺法），每组53例（106个耳孔）。两组术后均给予定期换药等基础治疗，观察比较两组研 究对象术后感染率、疼痛评分、术后1年耳孔闭合率及瘢痕率等指标，探讨两种耳孔成形术的临床应用价值。结果：两 组就医者术后感染比较，治疗组创面感染1例（0.94%），明显低对照组的创面感染5例（4.72%），差异具有统计学意义 （χ2 =5.686,P=0.017）；治疗组就医者术后疼痛NRS评分为(2.02±1.13)分，显著低于对照组的(3.49±1.40)分，差异有 统计学意义(t=-5.92，P＜0.001)；两组就医者术后1年耳孔闭合率观察，治疗组耳孔闭合3例（2.83%），与对照组的5例 （4.72%）相比，差异无统计学意义（χ2 =0.520,P=0.471）；两组就医者术后1年瘢痕发生率观察，治疗组瘢痕形成0例 （0.00%），低于对照组的6例（5.66%），差异具有统计学意义（χ2 =6.175,P=0.013）。结论：改良静脉留置针穿刺法较耳 钉枪穿刺法耳孔成形术术后感染率低、疼痛轻、瘢痕发生率低，临床应用安全有效，可推广应用。
Abstract:
Objective To preliminarily investigate the efficacy and safety of improved intravenous indwelling needle puncture for ear perforation. Methods 106 cases of ear piercing were selected from the Burn and Plastic Surgery department of General Hospital of Pingmei Medical Group from January 2015 to December 2021.The subjects were divided into the treatment group (improved intravenous indwelling needle puncture) and the control group (ear nail gun puncture) by random number method, with 53 cases and 106 ear holes in each group. The two groups were given basic treatment such as regular dressing change after operation. By observing the comparison of postoperative infection rate, pain score, auricle closure rate and scar rate in the first year after operation between the two groups, the clinical application value of the two kinds of auricle piercing operation was discussed. Results Postoperative infection rate in the two groups was 1 case (0.94%) in the treatment group and 5 cases (4.72%) in the control group, the difference was statistically significant (χ2 =5.686,P=0.017). The NRS score of postoperative pain in the treatment group was (2.02±1.13) points, which was significantly lower than that of the control group (3.49±1.40) points, and the difference was statistically significant (t=-5.920,P＜0.001). Auricular closure rate 1 year after operation in the two groups, 3 cases (2.83%) in the treatment group, compared with 5 cases (4.72%) in the control group, the difference was not statistically significant (χ2 =0.520,P=0.471). One year postoperative scar rate in the two groups, scar formation in the treatment group in 0 cases (0.00%), lower than the control group in 6 cases (5.66%), the difference was statistically significant (χ2 =6.175,P=0.013). Conclusion The modified intravenous indwelling needle puncture method has lower postoperative infection rate, less pain and lower scar formation rate than the ear nail gun puncture method. It is safe and effective in clinical application and can be widely applied.
更新日期/Last Update: 2023-06-12