壳聚糖活性炭栓预防宫颈术后并发症的临床价值  

Clinical Value of Chitosan Activated Carbon Suppository in the Prevention of Cervical Postoperative Complications

作　　者：刘玉琴[1] 董华娟[1] 宋洋[1] 刘文英[1] 

机构地区：[1]自贡市第四人民医院妇产科,四川自贡643000

出　　处：《昆明医科大学学报》2015年第2期97-101,共5页Journal of Kunming Medical University

基　　金：四川省卫生厅科研基金资助项目(120007)

摘　　要：目的探讨壳聚糖活性炭栓对宫颈术后并发症的预防作用及其治疗宫颈病变的临床价值.方法选取宫颈病变行LEEP治疗或微波治疗的患者进行研究.行LEEP治疗480例,随机分为治疗组(240例)和对照组(240例),治疗组LEEP术后即开始给予壳聚糖活性炭栓阴道上药,共7 d,对照组不进行阴道上药,术后碘伏纱布阴道填塞24 h.微波治疗480例,随机分为治疗组(240例)和对照组(240例),治疗组微波治疗术后立即给予壳聚糖活性炭栓阴道上药,共7 d,对照组不进行阴道上药.结果无论是微波治疗还是LEEP治疗,治疗组在术后阴道流液时间、阴道流血量及持续时间方面均明显少于对照组,创面愈合情况优于对照组,创面愈合时间较对照组明显缩短(P<0.05).结论壳聚糖活性炭栓可以明显减少宫颈病变患者术后并发症的发生,缩短创面愈合时间,增加患者术后舒适度,具有显著的临床意义,值得临床推广.Objective To explore the preventive effect of chitosan activated carbon suppository on cervical postoperative complications, and provide references for clinical prevention and treatment of cervical lesions.Methods We selected patients with cervical lesions who received LEEP or microwave therapy as the subjects in this study. 480 patients who received LEEP therapy were randomly divided into treatment group（240 cases） and control group（240 cases）. Patients in the treatment group were given chitosan activated carbon suppository after LEEP for7 days,while patients in the control group were given. povidone-iodine gauze vaginal packing for 24 hours after LEEP. 480 patients who received microwave therapy were randomly divided into treatment group（240 cases） and control group（240 cases）. Patients in the treatment group were given chitosan activated carbon suppository after microwave therapy for 7 days,while patients in the control group were not given virginal medication. Results In the postoperative vaginal bleeding,fluid flow occurrence,duration aspects both the microwave and LEEP treatment groups are significantly less than the control groups,wound healing and the healing time were significantly better than the control groups. Conclusion Chitosan activated carbon suppository can significantly reduce the incidence of cervical postoperative complications and increase postoperative patient comfort, it has significant clinical implications and worthy of promotion.

关 键 词：壳聚糖活性炭栓 宫颈手术 术后并发症 

分 类 号：R713.44[医药卫生—妇产科学]