剖宫产术后使用透明质酸钠凝胶预防肠粘连的疗效观察  

Curative effect observation of sodium hyaluronate in prevention of ankylenteron after cesarean section

作　　者：张美娟[1] 

机构地区：[1]江苏省海门市第四人民医院妇产科,江苏海门226141

出　　处：《中国医药科学》2013年第20期203-204,共2页China Medicine And Pharmacy

摘　　要：目的探讨宫产术后使用透明质酸钠凝胶预防肠粘连的临床疗效。方法选择我院在2011年1月～2012年1月间的行剖宫产术患者80例，随机分为使用透明质酸钠凝胶的治疗组和常规处理的对照组，比较两组患者的X线腹部平片诊断粘连性肠梗阻阳性例数和两组患者肠粘连情况。结果治疗组肠粘连的发生率（2．5％）明显低于对照组（27．5％），并且治疗组无一例发生粘连性肠梗阻，明显少于对照组的4例，两组差异均有统计学意义（P〈0．05）。结论透明质酸钠凝胶用于剖宫产术后预防肠粘连，效果显著，且无明显的毒副作用，值得临床推广使用。Objective To discuss the curative effect of sodium hyaluronate in prevention of ankylenteron after cesarean section. Methods 80 patients undergoing caesarean section from january 2011 to january 2012 in our hospital were selected and divided into the treatment group,which use sodium hyaluronic acid gel,and the control group,which use the conventional treatment.The intestinal adhesion and the number of positive cases of adhesive intestinal obstruction between two groups were compared by X-ray plain film of abdomen. Results The incidence of intestinal adhesion in the treatment group （2.5%） was significantly lower than the control group （27.5%）,and the treatment group with no occurrence of adhesive intestinal obstruction,4 cases of control group was significantly less than that of the two group,the differences were statistically significant （P 〈 0.05）. Conclusion Sodium hyaluronate gel for the prevention of intestinal adhesion,cesarean section after the effect is remarkable,and no obvious side effect,is worthy of clinical use.

关 键 词：剖宫产 透明质酸钠凝胶 肠粘连 粘连性肠梗阻 疗效 

分 类 号：R619[医药卫生—外科学]