剖宫产切口处置决明子袋压疮的预防

目的探索剖宫产切口处置什么样的沙袋,一次性持续多长时间,才能既能防止切口处压疮,又能达到压迫止血的目的。方法选择2006年4月21日～12月31日剖宫产203例作为对照组,采用传统方法:用软塑料薄膜制成25cm×16cm小长方形袋内装1kg食盐,外套柔软棉布套,持续放置腹部切口处6h取下。2007年1月1日～2008年8月31日剖宫产485例作为观察组,采用医用纱布制成25cm×16cm小长方形袋内装1kg药用决明子,外套柔软棉布套,持续放置腹部切口处3h放松3～5min,再放置3h取下。结果观察组59例发生皮肤压红且在30min内消失;对照组55例发生皮肤压红且在30min内消失,10例发生I期压疮,8例发生II期压疮。结论决明子袋及方法既能防压疮,又能达到对腹部切口压迫止血的目的。

Objective To research what kind of sand bag to put on the cut of the abdominal delivery and how long to put it on the cut so as to prevent the pressure sore of the cut and stopping bleeding at the same lime. Methods The 203 patients from April 2006 to December were as a control group. These patients were treatment in the traditional way. Asmall rectangle bag （25cm× 16cm） were put continuously on the cut for 6 hours, with one kilo of salt in it and a soft cotton fabric cover around it, which was made of soft plastic membrane; 485 cases from January 2007 to August 2008 were as a treated group. A small rectangle bag of the same size were put continuously on the cut for 3 hours, loosen it for 3-5 minutes and then put it on the cut again for 3 hours, with one kilo of cassia seeds in it and a soft cotton fabric cover around it, which was made of medical gauze. Results In the treated group ,59 patients＇ skins became red after being pressed and then disappeared in 30 minutes, and so did the 55 patients＇ skins in the control group, but there were another 10 patients who had suffered the first-grade sore, and another 8 patients who had suffered the secondary sore. Conclusion The bag with semen cassiae tome in it as well as the method not only prevents pressure sores but also achieving the purpose of stopping bleeding.