聚维酮碘擦拭切口预防肥胖孕妇术后脂肪液化300例观察

Prevention of Fat Liquefaction Following Cesarean Section Using Povidone lodine in Obese Pregnant Women:A Clinical Observation of 300 Cases

目的探讨聚维酮碘擦拭腹部切口预防肥胖孕妇剖宫产术后脂肪液化的临床疗效。方法选择肥胖剖宫产病例300例,随机分为聚维酮碘组(A组)、生理盐水组(B组)及对照组(C组),A组患者术中关腹时,待腹直肌前鞘缝合后,用0.5%聚维酮碘液纱布球擦拭皮下脂肪层、皮肤表面,B组用生理盐水,C组常规缝合,不用药液擦拭;各组患者常规围手术期静脉滴注抗菌药物预防感染;观察其产褥期感染率、术后白细胞总数最高值比较及切口愈合情况。结果A组患者产褥期感染率、术后白细胞总数值比较及切口感染率明显低于B组及C组,差异有统计学意义。结论术中应用聚维酮碘擦拭腹部切口皮下脂肪层、皮肤表面,可减少切口脂肪液化及感染的发生。

OBJECTIVE To explore clinical results of fat liquefaction of incision wound following cesarean section for obese pregnant women.METHODS Totally 300 obese pregnant women with cesarean section were randomly divided into three groups： group A,iodine（PVP-Ⅰ） group（using PVP-Ⅰ（0.5%） after suturing the abdominal rectus sheath）;group B（normal saline group）;group C（control group without any liquid）.All patients were preoperatively used antibiotics to control the infection.The rate of puerperal morbidity,white cell count and wound infection were observed.RESULTS All parameters of group A were lower than group B or C.There were significant differences among three groups（P0.05）.CONCLUSIONS Using PIP-Ⅰ to incision site for obese pregnant women after cesarean section can prevent fat necrosis and infection.