3种方法处理剖宫产术后腹部切口脂肪液化的效果比较及护理  

Effects of three different methods on incision fat liquefaction from cesarean section

作　　者：陈淳[1] 陈洁冰[1] 吴丽容[1] 胡丽君[1] 王马列[1] Chen Chun;Chen Jiebing;Wu Lirong;Hu Lijun;Wang Malie(Department of Obstetrics and Gynecology,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou,510080,China)

机构地区：[1]中山大学附属第一医院妇产科,广东广州510080

出　　处：《现代临床护理》2018年第10期45-48,共4页Modern Clinical Nursing

摘　　要：目的探讨藻酸盐敷料(alginate dressing,AD)、封闭式负压引流(vacuum sealing drainage,VSD)和常规换药3种方法在处理剖宫产术后腹部切口脂肪液化的效果和总结护理要点,为临床提供更多可选择的切口换药方案。方法选择本院剖宫产术后切口脂肪液化产妇94例,按抽签法将产妇随机分为AD组31例,VSD组30例,对照组33例。AD组产妇切口采用AD换药法,VSD组产妇切口采用VSD换药法,对照组产妇切口采用传统换药法。比较3组产妇切口甲级愈合时间、换药频度、换药总花费及换药时疼痛程度情况。结果 AD组与VSD组产妇切口甲级愈合时间快于对照组,换药频度少于对照组;AD组产妇切口总花费少于其他两组;VSD组产妇切口换药频度优于其他两组,各组两两比较,差异有统计学意义(均P<0.0167)。3组产妇切口换药时疼痛程度比较,P<0.05,差异有统计学意义;其中AD组、VSD组产妇换药时疼痛程度均轻于对照组,组间比较,差异有统计学意义(均P<0.0167)。结论 AD换药法处理剖宫产术后腹部切口脂肪液化费用经济,VSD法换药频度少,两者在缩短甲级愈合时间和切口换药减轻疼痛方面均较传统换药法有优势。Objective To explore the effects and nursing points of alginate dressings （AD）, vacuum sealing drainage （VSD） and conventional dressing （CD） in treatment of incision fat liquefaction from abdominal cesarean section. Methods Totally, ninety-four cases of incision fat liquefaction from cesarean section were divided into three groups： AD （n=31）, VSD （n=30） and CD （n=33）. The three groups were compared in terms of grade A incision healing time, dressing frequency, expenses of nursing care and pain degree. Results The AD and VSD groups were superior to the control group in grade A healing time and the switching frequency was significantly lower than the control group. The total cost of AD group was smaller than the other two groups. The addressing frequencies of the VSD and AD groups were significantly lower than those in the CD group （P〈0.0167）. The pain levels of AD and ASD groups were significantly lower than those of the CD group （P〈0.0167）. Conclusion The cost by alginate dressing is smaller, the dressing frequency by vacuum sealing drainage is lower and both methods are superior to the conventional method in grade A healing time and pain relief.

关 键 词：切口脂肪液化 藻酸盐敷料 封闭式负压引流 护理 

分 类 号：R473.71[医药卫生—护理学]