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目的分析复方黄柏液在尿道下裂术后引流管冲洗中的临床应用。方法尿道下裂手术治疗患者62例,随机分为两组:实验组31例,抽吸完尿道分泌物后,从自制尿道引流管内滴注10 rnl的复方黄柏液,每日2次;对照组31例,抽吸完尿道分泌物后,从自制尿道引流管内滴注8万单位庆大霉素+5 mg地塞米松+10 ml生理盐水的混合液。根据分泌物的引流情况拔出引流管,术后14天拔除导尿管。结果实验组引流管拔除时间为(5.71±0.97)天,对照组为(6.32±1.25)天,实验组在术后控制成形尿道内分物方面较对照组更有优势(P<0.05)。实验组一期手术成功率为90.3%(28/31)对照组为80.6%(25/31),两组比较差异无统计学意义(P>0.05)。结论复方黄柏液通过自制尿道引流管对成形尿道进行局部冲洗,能够有效减少尿道分泌物的分泌。
Objective To analyze the clinical application of compound cortex phellodendri on drainage tube after hypospadias operation. Methods Sixty-two patients undergoing hypospadias operation were randomly divided into two groups: experimental group (31 cases). After suctioning urethral secretions, 10 rnl of compound cortex phellodendri was instilled into the urethral drainage tube twice a day. The control group 31 cases, after inhalation of urethral discharge, from the homemade urethral drainage tube instillation of 80,000 units of gentamicin +5 mg dexamethasone +10 ml saline mixture. Drainage drainage tube according to the drainage of secretions, 14 days after removal of the catheter. Results The drainage time of the drainage tube in the experimental group was (5.71 ± 0.97) days and that in the control group was (6.32 ± 1.25) days. The experimental group had more advantages in controlling the internal urethra formation than the control group (P <0.05). The success rate of primary surgery in the experimental group was 90.3% (28/31) and 80.6% (25/31) in the control group. There was no significant difference between the two groups (P> 0.05). Conclusion The compound cortex phellodendri local irrigation through the urethral drainage tube of the urethra, can effectively reduce the secretion of urethral secretions.