单味芒硝外敷预防剖宫产术后切口脂肪液化效果观察

External Application of Mirabilite Prevent Incision Fat Liquefaction after Caesarean Section

[目的]观察芒硝外敷对剖宫产术后切口脂肪液化的预防作用。[方法]从缙云县第二人民医院妇产科2010年1月至2013年12月符合纳入标准病例中选取存在切口愈合不良高危因素的产妇200例,随机分为对照组(常规防治,不用芒硝外敷)100例和芒硝预防组(常规防治基础上加芒硝外敷)100例,术后7d观察两组切口愈合情况。[结果]芒硝预防组切口愈合良好98例,愈合欠佳1例,愈合不良1例,对照组切口愈合良好88例,愈合欠佳4例,愈合不良8例,芒硝预防组切口愈合良好率明显高于对照组(P<0.05),切口脂肪液化发生率明显低于对照组(P<0.05)。[结论]芒硝外敷可以促进剖宫产术后切口愈合,减少切口脂肪液化发生。

[Objective] To observe the prevention and treatment of incision fat liquefaction after caesarean section with external mirabilite application. [Method] The cases were collected from Jan. 2010 to Jan. 2013, in accordance with standard cases. Select 200 cases of puerpera with bad high risk factors of incision cure, randomly divide them into control group（routine changing prescription without mirabilite） 100 cases and prevention group（routine changing prescription added with mirabilite external application） 100 cases, observe both groups cut cure after 7d.[Result] In mirabilite prevention group, 98 cases were cured well, 1 case was not very good, 1 bad; in control group, 88 were excellent, 4 not very good and 8 bad, the cure excellent rate of prevention group was much better than control group（P〈0.05）, as well as the incision fat liquefaction rate much lower than control one. [Conclusion] Mirabilite external application can promote incision cure after caesarean section and reduce incision fat liquefaction.