应用"TIME"原则与拉合加压治疗剖宫产术后腹部切口裂开的效果观察

Application of"TIME"principle and tension compression in the treatment of abdominal incision after cesarean section

目的:探讨应用"TIME"原则与拉合加压治疗剖宫产术后腹部切口裂开的效果。方法:选取该院2018年1~12月剖宫产术后腹部切口裂开产妇43例,将2018年1~6月剖宫产术后腹部切口裂开产妇20例设为对照组,由医生处理伤口;将2018年7~12月剖宫产术后腹部切口裂开产妇23例设为观察组,由伤口护士应用"TIME"原则与拉合加压治疗伤口,观察组伤口愈合时间、换药次数、换药费用、患者满意度,比较两组平均住院日、平均住院费用。结果:观察组剖宫产术后腹部切口裂开通过应用"TIME"原则与拉合加压治疗,伤口愈合时间、换药次数,换药费用患者满意度,两组差异均有统计学意义(均P<0.05)。结论:应用"TIME"原则与拉合加压治疗剖宫产术后腹部切口裂开伤口,方法正确,患者对愈合时间、换药次数、换药费用都满意,减少了患者住院日和住院费用,值得推广到所有腹部手术后切口裂开伤口的治疗。

Objective To investigate the effect of"TIME"principle and compression in the treatment of abdominal incision rupture after cesarean section.Methods A total of 43 cases of parturient women with abdominal incision split after cesarean section in this hospital were selected from January to December 2018,and 20 cases of parturient women with abdominal incision split after cesarean section from January to June 2018 were set as the control group,and the wound was treated by doctors.A total of 23 pregnant women with abdominal incision split after cesarean section from July to December 2018 were selected as the observation group,and the wound nurse applied the principle of"TIME"and tension compression to treat the wound.The wound healing time,times of dressing change,dressing change cost,patient satisfaction were observed.Average hospital stay and average hospital expenses were compared between the two groups.Results After cesarean section,the abdominal incision was split in the observation group through the application of"TIME"principle and compression treatment with traction.The differences in wound healing time,dressing change frequency,dressing change cost and patient satisfaction between the two groups were statistically significant(P<0.05).Conclusions It is correct to apply the principle of"TIME"and compression to treat the abdominal incision wound after cesarean section.The patients are satisfied with the wound healing time,dressing change frequency and dressing change cost,which reduces the patient's hospital stay and hospitalization cost,and is worthy to be extended to the treatment of all open wounds after abdominal surgery.