剖宫术后切口免压沙袋的临床效果观察

Cutting Palace Sandbags Clinical Effect Observation of Postoperative Incision without Pressure

目的探讨剖宫术后的产妇采用腹部切口免压沙袋的临床效果。方法选择2012年1—6月在产科择期行剖宫产术的足月单胎初产妇255例,随机分成观察组(130例)和对照组(125例)。其中观察组产妇剖宫产术后采用腹部切口免压沙袋,对照组产妇按常规在术后给予腹部切口加压沙袋6 h,比较两组产妇术后24 h切口敷料有无渗血的情况、子宫收缩程度、24 h阴道出血量、主观舒适度及第1次肛门排气时间。结果观察组产妇的主观舒适度、第1次肛门排气时间明显优于对照组(P<0.05),而24 h切口敷料有无渗血、子宫收缩及24 h阴道出血量差别无统计学意义(P>0.05)。结论在不影响腹部切口渗血及子宫收缩的情况下,剖宫术后采用腹部切口免压沙袋止血,产妇主观感觉更舒适,能够早期翻身,肠蠕动加快,使肛门尽早排气。

OBJECTIVES To study the cutting palace of maternal postoperative abdominal incision from pressure sandbags clinical ef- fect. METHODS Choice in obstetrics from January to June in 2012 elective cesarean section during the term of singletons primipara 255 cases, randomly divided into observation group（n=130） and the control group（n=125）. Which the maternal abdominal incision ce- sarean section observation group avoid pressure sandbags, control group according to the conventional postoperative care, maternal pressurized sandbags to abdominal incision 6 h, comparing two groups of maternal incision dressing within 24 h of bleeding, uterine contractions, 24 h vaginal haemorrhage amount, subjective comfort and one anus exhaust time. RESULTS Observation group mater- nal for subjective comfort, first anus exhaust time was obviously better than that of control group（P〈0.05）, and 24 h incision dress- ing presence of ooze blood of 24 h, uterine contractions and vaginal haemorrhage amount no statistically significant difference（P〉 0.05）. CONCLUSION Without affecting ooze blood abdominal incision and uterine contractions, under the condition of postoperative abdominal incision sandbags, free cutting palace women in subjective feeling more comfortable, be able to roll over, early intestinal peristalsis faster, anus exhaust as early as possible.