剖宫产术后皮下置引流管对切口愈合的影响研究

Effect of Placing Subcutaneous Drainage Tube in Patients to Promoting Incision Healing after Cesarean Section

目的:探讨剖宫产手术后,在伤口愈合障碍的患者皮下放置引流管对切口愈合的影响。方法:选取存在伤口愈合障碍相关因素的剖宫产手术妇女420例随机平分为两组,每组210例。治疗组,进行腹壁缝合时,在脂肪层放置自制的引流管引流;对照组切口和缝合部位相同,只是不放置引流管。术后比较两组患者切口的愈合情况。结果:治疗组210例患者中,伤口愈合为甲级者176例,乙级30例,丙级4例,没有发生伤口感染的患者;对照组伤口愈合情况,甲级116例,乙级70例,丙级20例,丁级4例;两组比较差异具有显著性(P<0.05)。两组患者进行手术所用的时间和手术完成后住院的天数均无明显差异(P>0.05)。结论:对存在切口愈合障碍相关因素的行剖宫产术的患者,在其皮下置引流管引流可以促进切口的愈合。

Objective：To study the effect of placing subcutaneous drainage tube in patients with disorders o f incision healing after cesarean section. Methods：The research divided 210 patients with disorder factors associated with healing and that had accepted ce- sarean section into 2gpoups （control group and treatment group） at random, each group had 105 patients. After cesarean section, self-made drainage tubes were placed in the layer of subcutaneous fat in treatment group. The researchers compared the degree of in- cision healing. Results ： Compared with control group, the degree of incision healing was significantly better, while the time of oper- ation and the patients in hospital of 2groups was nearly. Conclusion： Placing subcutaneous drainage tube in patients can promote in- cision healing.