妇产科腹部手术后脂肪液化防护对策

Preventive Measures for Fat Liquefaction after Abdominal Surgery in Obstetrics and Gynecology

目的探究妇产科腹部手术后脂肪液化防护对策。方法回顾性分析该院2018年3月—2019年5月收治的100例妇产科腹部手术后脂肪液化患者,以随机数字表法将研究对象分为研究1组(针对性防护对策护理)与研究2组(常规护理)各50例,探讨实施不同护理对护理效果的影响。结果在总有效率上,研究1组为98.00%,研究2组为80.00%,两组相比差异有统计学意义(χ^(2)=8.274,P<0.05),在满意度上,研究1组为98.00%,研究2组为82.00%,两组相比差异有统计学意义(χ^(2)=7.111,P<0.05),护理前研究对象的汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)对比差异无统计学意义(P>0.05),护理后,研究1组评分均低于研究2组,差异有统计学意义(P<0.05),干预前研究对象的QOL评分对比差异无统计学意义(P>0.05),干预后研究1组评分高于研究2组,差异有统计学意义(P<0.05)。结论切口脂肪液化主要与糖尿病、使用高频电刀、腹壁脂肪厚度、切口冲洗有关,临床需给予针对性的干预措施,进而及早发现及时处理,采用细致的护理措施,可减轻患者痛苦,促进切口愈合。

Objective To explore the protective measures against fat liquefaction after abdominal surgery in obstetrics and gynecology.Methods A retrospective analysis of 100 patients with fat liquefaction after abdominal surgery in the obstetrics and gynecology department admitted to the hospital from March 2018 to May 2019 was retrospectively analyzed,and the subjects were divided into study 1 group(targeted protective countermeasure nursing)and study by random number table method two groups(routine care)each with 50 cases,to explore the effect of different care on the nursing effect.Results In terms of total effective rate,study 1 group was 98.00%,study 2 group was 80.00%,the difference between the two groups was statistically significant(χ^(2)=8.274,P<0.05),in terms of satisfaction,study 1 group was 98.00%,the study 2 group was 82.00%,the difference between the two groups was statistically significant(χ^(2)=7.111,P<0.05),there was no significant difference between the HAMD and HAMA of the study subjects before nursing(P>0.05),after nursing,the scores of study 1 group were lower than those of study 2,and the difference was statistically significant(P<0.05).The QOL scores of the subjects before the intervention were not statistically significant(P>0.05),and the scores of the study 1 group were higher than the study 2 after the intervention,the difference was statistically significant(P<0.05).Conclusion The incision fat liquefaction is mainly related to diabetes,use of high-frequency electrosurgical knife,abdominal wall fat thickness,and incision washing.Clinical interventions need to be given targeted interventions,so that early detection and timely treatment,and careful nursing measures can alleviate patients’pain and promote incisions recovery.