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沙特阿拉伯麦加市医院急诊科医生和外科医生伤口闭合技术的实践情况。

Practice of wound closure techniques among emergency physicians and surgeons in Makkah City Hospitals in Saudi Arabia.

作者信息

Felemban Jeehad M, Binyaseen Kenan A, Almalki Waleed S, Altowairqi Fahad S, Sakhakhini Amer O, Alharbi Ziyad I

机构信息

Faculty of Medicine, Umm Al-Qura University, Mecca.

Plastic, Reconstructive and Hand Surgery, Specialized Surgery Department, King Abdullah Medical City, Mecca; Plastic Surgery Division, Fakeeh College for Medical Sciences, Jeddah.

出版信息

J Public Health Res. 2021 Apr 13;10(3):2168. doi: 10.4081/jphr.2021.2168.

DOI:10.4081/jphr.2021.2168
PMID:33849265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8419623/
Abstract

BACKGROUND

Wound suturing is a procedure performed by medical and surgical specialists. While there are many different suturing techniques and materials used to treat patients, the choice of which to employ depends on different variables that affect the outcome of the procedure.

DESIGN AND METHODS

This is a cross-sectional study conducted to provide descriptive data regarding the practice of wound closure techniques, and to develop an awareness of scar formation factors. A total of 172 general surgery (GS) surgeons and emergency (EM) physicians in Makkah city hospitals in Saudi Arabia participated in the study.

RESULTS

More than 50% of the practitioners favored the simple interrupted technique for the treatment of all types of studied wounds. The other most common techniques among participants were the subcuticular and vertical mattress methods, respectively, while the use of a stapler was limited to certain wound types. Regarding suturing material, polyglycolic acid was the most frequent material used by 50.1% of participants, whereas only 22% of the participants selected nylon material for wound suturing. However, this study showed a good level of awareness among participants, with significant p-values (p<0.05) of strongly agree and agree regarding the essential factors affecting wound healing and scar formation.

CONCLUSIONS

The result provides insight into the most common suture techniques and materials used in wound closure. There are wide variations in selecting these techniques and materials among the participants. Also, we found that there is good awareness among participants about factors that lead to scar formation.

摘要

背景

伤口缝合是医学和外科专家实施的一项操作。虽然有许多不同的缝合技术和材料用于治疗患者,但选择使用哪种技术和材料取决于影响手术结果的不同变量。

设计与方法

这是一项横断面研究,旨在提供有关伤口闭合技术实践的描述性数据,并提高对瘢痕形成因素的认识。沙特阿拉伯麦加市医院的172名普通外科(GS)外科医生和急诊科(EM)医生参与了该研究。

结果

超过50%的从业者倾向于使用单纯间断缝合法治疗所有类型的研究伤口。参与者中其他最常用的技术分别是皮下缝合法和垂直褥式缝合法,而吻合器的使用仅限于某些伤口类型。关于缝合材料,50.1%的参与者最常使用聚乙醇酸,而只有22%的参与者选择尼龙材料进行伤口缝合。然而,这项研究表明参与者有较高的认知水平,对于影响伤口愈合和瘢痕形成的关键因素,强烈同意和同意的比例具有显著的p值(p<0.05)。

结论

该结果提供了对伤口闭合中最常用的缝合技术和材料的见解。参与者在选择这些技术和材料方面存在很大差异。此外,我们发现参与者对导致瘢痕形成的因素有较好的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/adb2da5fa69b/jphr-10-3-2168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/f9903172cf73/jphr-10-3-2168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/e3e734fe788c/jphr-10-3-2168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/adb2da5fa69b/jphr-10-3-2168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/f9903172cf73/jphr-10-3-2168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/e3e734fe788c/jphr-10-3-2168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1fc/8419623/adb2da5fa69b/jphr-10-3-2168-g003.jpg

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J Am Acad Dermatol. 2017 Nov;77(5):911-919. doi: 10.1016/j.jaad.2017.04.1128. Epub 2017 Jul 17.
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