头孢呋辛钠结合立“8”字缝合法在剖宫产术中的应用分析

Application Analysis of Cefuroxime Sodium Combined with"Figure of Eight"Suture Method in Cesarean Section

目的:分析头孢呋辛钠结合改良立“8”字缝合法在剖宫产术中预防肥胖患者切口脂肪液化的效果。方法:回顾性分析2019年1月~2019年11月某院收治的剖宫产术合并肥胖患者129例临床资料,按照治疗方式不同将其分为两组。其中对照组患者91例接受采用传统间断缝合联合头孢呋辛钠,观察组38例接受改良立“8”字缝合法结合头孢呋辛钠,观察两组患者伤口甲级愈合率、脂肪液化率、发热率、炎症指标、住院时间,并对比两组治疗后的效果。结果:观察组患者甲级愈合率(100%无伤口渗液,均甲级愈合)较对照组高(84.61%),差异均具有统计学意义(P<0.01);而术后发热率(2.63%)较对照组低(12.09%),差异具有统计学意义(P<0.05);观察组治疗后白细胞(WBC)、中性粒细胞百分比(GR)、C反应蛋白(CRP)均较对照组低,差异具有统计学意义(P<0.05)。结论:头孢呋辛钠结合立“8”字缝合法应用在肥胖尤其合并多重伤口愈合不良危险因素的产妇剖宫产术中,能够提高患者的伤口愈合率,降低脂肪液化率,改善术后产妇机体中炎性因子水平,加快病情康复进程。该法简单有效,适合临床推广。

Objective:To analyze the effect of cefuroxime sodium combined with"figure of 8"suture method on prevention of fatty liquefaction in obese patients during cesarean section.Methods:A retrospective analysis of 129 clinical data of cesarean section patients with obesity admitted to a hospital from January 2019 to November 2019 was divided into two groups according to different treatment methods.Among them,91 patients in the control group received traditional intermittent suture combined with cefuroxime sodium,and 38 patients in the observation group received"figure of 8"suture combined with cefuroxime sodium.The wound healing rate,fatty liquefaction rate,fever rate,inflammation index,length of hospital stay in the two groups of patients were observed,and the effects of the two groups were compared.Results:The rate of grade A healing(100%without wound exudate,all grade A healing)was higher in the observation group than that in the control group(84.61%),and the difference was statistically significant(P<0.01).After operation,the fever rate of the observation group(2.63%)was lower than that of control group(12.09%),and the difference was statistically significant(P<0.05).The white blood cell(WBC),neutrophil percentage(GR),and C-reactive protein(CRP)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Cefuroxime sodium combined with"figure of 8"suture method in cesarean section patients with obesity,especially with multiple risk factors for poor wound healing,can improve the wound healing rate of patients,reduce the rate of fatty liquefaction,and improve the level of inflammatory factors in the body of parturient after operation,and speed up the recovery process of the disease,which is simple and effective,and suitable for clinical promotion.