剖宫产纵切口皮下脂肪层不缝合与缝合效果对比研究  

Effects of non-suture and suture of subcutaneous fatty layer in cesarean section with longitudinal incision: a comparative study

作　　者：魏娜[1] 宋鸿碧[1] 许吟[1] 容晓婷[1] 徐飏[1] 

机构地区：[1]贵州省人民医院产科,贵州贵阳550002

出　　处：《中国妇幼保健》2016年第22期4716-4718,共3页Maternal and Child Health Care of China

摘　　要：目的探讨剖宫产纵切口皮下脂肪层不缝合术的临床效果。方法以贵州省人民医院产科138例剖宫产纵切口皮下脂肪层不缝合术产妇作为观察组,以同期648例剖宫产纵切口皮下脂肪层缝合术产妇作为对照组,比较两组产妇术后24 h切口疼痛感、切口甲级愈合率、术后住院时间、切口软化度等临床资料。结果观察组产妇术后24 h切口疼痛感较对照组轻,两组比较差异有统计学意义(P<0.05);观察组和对照组切口甲级愈合率分别为98.55%、98.15%,两组差异无统计学意义(P>0.05);观察组和对照组术后平均住院时间分别为(4.42±1.09)d和(4.56±1.35)d,两组差异无统计学意义(P>0.05);观察组和对照组自诉切口软者分别为70.29%和54.94%,两组差异有统计学意义(P<0.05)。结论剖宫产纵切口皮下脂肪层不缝合术与缝合术比较,可减轻产妇术后24 h切口疼痛感、缩短手术时间、降低经济成本、改善出院时切口软化度,且对切口甲级愈合率及术后住院时间无明显影响,值得在临床推广。Objective To explore the clinical effect of non-suture and suture of subcutaneous fatty layer in cesarean section with longi- tudinal incision. Methods A total of 138 postpartum women without suture of subcutaneous fatty layer in cesarean section in Department of Obstetrics in the hospital were selected as observation group, 648 138 postpartum women with suture of subcutaneous fatty layer in cesarean section in Department of Obstetrics in the hospital during the same period Were selected as control group. The degrees of pain, the first-grade healing rates, hospitalization time after opeartion, and softening degrees of incision in the two groups were compared. Results The degree of pain after 24 hours of delivery in observation group was statistically significantly milder than that in control group （ P〈0.05 ） ; the first-grade healing rates in observation group and control group were 98.55% and 98. 15% , respectively, there was no statistically significant difference between the two groups （P〉0. 05 ） ; the mean hospitalization time after operation in observation group and control group were （4.42± 1.09 ） days and （4. 56± 1.35 ） days, respectively, there was no statistically significant difference between the two groups （P〉0.05） . The softening rates of incision in observation group and control group were 70. 29% and 54. 94% , respectively, there was statistically significant difference between the two groups （ P〈0. 05 ） . Conclusion Compared with suture of subcutaneous fatty layer in cesarean section with longitudinal incision, non-suture of subcutaneous fatty layer can relieve pain after 24 hours of delivery, shorten operation time, reduce medical cost, improve softening degree of incision, and the method has no significant impact on the first-grade healing rate and hospitalization time after opeartion, which is worthy of clinical popularization.

关 键 词：剖宫产 纵切口 皮下脂肪层 缝合 

分 类 号：R719.1[医药卫生—妇产科学]