自制腹壁皮下引流条在促进剖宫产切口愈合中的应用

Self-made abdominal subcutaneous drainage strip in promoting the healing rate of the cesarean section incision

目的观察腹壁皮下引流条对促进剖宫产切口愈合的效果。方法选取2012年2月至2012年8月天津市中心医院产科剖宫产手术者中存在肥胖或瘢痕子宫者50例作为观察组,观察组术中放置腹壁皮下引流条;2012年1月以前产科剖宫产手术者中存在肥胖或瘢痕子宫者50例作为对照组。对照组常规缝合腹壁切口。比较两组切口愈合率、住院天数及发热率。结果观察组术后4 d切口愈合率高于对照组,差异有统计学意义(P<0.05);住院天数、发热率比较差异无统计学意义(P>0.05)。结论对肥胖或瘢痕子宫者采取放置腹壁皮下引流条是促进其切口愈合简便易行的方法,值得临床推广应用。

Objective To observe the effect of the self-made abdominal subcutaneous drainage strip on the cesarean section incision.Methods The samples of cesarean in 50 cases of obesity or uterine scar from Fbbruary 2012 to August 2012 were in the observation group,the cases of the observation group were placed with the abdominal subcutaneous drainage strip.The samples of cesarean in 50 cases of obesity or uterine scar before January 2012 were in the control group,the cases of the control group were given routine suture of the abdominal incision.The wound healing rate,fever rate,days of hospitalization were compared.Results Four days postoperatively,the wound healing rate in observation group was higher than that in control group,the difference was statistically significant（P＆lt;0.05）.The fever rate and hospitalization days had no significant difference between the two groups（P＆gt;0.05）.Conclusion The patient of obesity or scar uterus can be placed with the abdominal subcutaneous drainage strip.It is a simple method for promoting wound healing.It is worthy of clinical application.