红外线结合湿润烧伤膏及糜蛋白酶在妇产科手术切口脂肪液化中的应用

Infrared combined with moist burn cream and chymotrypsin application in gynecology and obstetrics fat liquefaction of incision

观察红外线照射结合湿润烧伤膏及糜蛋白酶应用于妇产科腹部切口脂肪液化的临床疗效。选择2011年3月至2014年10月在我院妇产科住院的腹部切口脂肪液化患者66例,按其意愿分为对照组31例和实验组35例。实验组患者清创后,采用红外线照射、湿润烧伤膏及糜蛋白酶联合治疗,对照组采取传统清创换药处理。治疗3周后,比较两组患者切口愈合时间、治疗所需时间及临床治疗总有效率。实验组患者总有效率为96.30%,对照组患者总有效率为65.43%,两组临床疗效比较差异非常显著(P<0.01),具有统计学意义;实验组患者切口愈合所需时间和治疗所需时间均明显少于对照组,两组比较其差异显著(P<0.05),均具有统计学意义。红外线和糜蛋白酶均具有促进切口愈合、抗炎、消肿等功效,与湿润烧伤膏联合应用可防治腹部切口脂肪液化,其效果明显,值得临床推广。

To observe the infrared irradiation combined with moist burn cream and chymotrypsin is applied to the clinical curative effect of fat liquefaction of abdominal incision of obstetrics and gynecology. In March 2011 to October2011 in hospital obstetrics and gynecology hospital of fat liquefaction of abdominal incision,66 cases of patients,according to their wishes were divided into control group and 31 cases group 35 cases. Experimental group patients after debridement,the adoption of infrared radiation,the moist burn cream and chymotrypsin combined treatment,control group adopts the traditional debridement dressing processing. 3 weeks after treatment,compared two groups of patients with incision healing time,the time needed for treatment and the clinical total effective rate. The total effective rate was96. 30%,control group total effective rate was 65. 43%,two groups of clinical curative effect is very significant difference( P<0. 01),statistically significant: Experimental group patients time needed for healing of incision and the treatment time were significantly less than the control group,two groups were significant difference( P<0. 05),statistically significant. Infrared and chymotrypsin have promote healing of incision,the effect such as anti-inflammation,detumescence,and can be applied to the moist burn cream combined prevention and treatment of fat liquefaction of abdominal incision,its effect is obvious,worth clinical promotion.