剖宫产术切口愈合不良原因分析及对策探讨

Analysis and Discussion on the causes of cesarean section incision healing

目的分析引起剖宫产术切口愈合不良的诱发因素及探究有针对性的预防措施。方法对2009年1月—2012年12月剖宫产术后切口愈合不良而进行了伤口换药的患者共55例的临床资料以回顾性的方法进行分析,和同期进行剖宫产而没有发生切口愈合不良的63例孕产妇的临床资料进行比较。其中腹部切口愈合不良的患者为观察组,同期没有出现腹部切口愈合不良的患者为对照组,对2组的临床资料进行对比分析。结果在观察组孕妇当中肥胖、胎膜早破、低蛋白血症血清白蛋白低于30 g/L、合并阴道炎等相对于对照组产妇有显著差异(P<0.05)。结论产妇剖宫产术后出现切口愈合不良,是由于多种因素一起作用导致的。而指导孕妇进行孕期的保健、合理膳食,防止体重增长过大而导致孕期肥胖及低蛋白血症的发生,对胎膜早破、孕期合并阴道炎等高危孕产妇进行预防和检测,合理使用抗菌药物及术后恰当的营养照顾,能有效的预防切口愈合不良的发生。

Objective Analysis of cause of inducing factors of cesarean sectionincision poor healing and explore measures to prevent it. Methods Clinical data of poor wound healing in the hospital in 2009 January--2012 year in December after cesarean section and a total of 55 cases of patients with wound to retrospective analysis clinical data and at the same time,cesarean section was performed in 63 cases of pregnant women without occurrence of poor wound healing were compared. The abdominal incision healing bad patients as the observation group, the same period does not appear abdominal incision healing bad patients as control group,a comparative analysis of the clinical data of 2 groups. Results In the observation group of pregnant women, obesity, premature rupture of membranes, hypoproteinemia serum albumin less than 30g/L, with vaginitis and other relative to the control group had significant differences in maternal （P〈0.05）.Conclusion Women appear poor healing of incision cesarean section, which is due to several factors work together. And guidance of pregnant women for prenatal care, reasonable diet, to prevent weight gain is too large and cause the occurrence of obesity during pregnancy and hypoalbuminemia, premature rupture of membranes to, pregnancy merge vaginitis and other high risk of maternal to carry on the prevention and detection, rational use of antimicrobial agents and proper nutrition postoperative care, can effectively prevent the happening of the poor healing of incision.