康复新液联合湿性敷料治疗腹部切口脂肪液化的应用  

Study on the application of rehabilitation new fluid combined with moist dressing in the treatment of fat liquefaction in abdominal incision

作　　者：茹敏晖 覃亦伟[1] 黄美珍 朱小红[1] 汤志萍 汤嘉敏[1] RU Minhui;QIN Yiwei;HUANG Meizhen;ZHU Xiaohong;TANG Zhiping;TANG Jiamin(Department of Obstetrics,the People's Hospital of Huadu District in Guangzhou City,Guangdong,Guangzhou 510800,China)

机构地区：[1]广州市花都区人民医院产科,广东广州510800

出　　处：《中国医药科学》2021年第15期208-211,共4页China Medicine And Pharmacy

基　　金：广东省广州市花都区科技计划项目(19-HDWS-051)。

摘　　要：目的探讨康复新液联合湿性敷料治疗腹部切口脂肪液化效果。方法选择2018年9月至2020年6月在广州市花都区人民医院治疗的剖宫产术后腹部切口脂肪液化患者60例为研究对象,开展回顾性研究,依照随机数字表法分为观察组和对照组,每组各30例。对照组接受传统换药方式处理伤口治疗,观察组接受康复新液以及湿性敷料联合治疗。对比两组换药后的切口恢复时间差异,包括切口渗液消失、创面有新鲜肉芽组织生长时间、总切口愈合时间、换药次数差异。统计比对两组各项指标差异,包括切口愈合时间以及治疗费用等。结果观察组中切口渗液消失、创面有新鲜肉芽组织生长时间显著短于对照组(P<0.05),总切口愈合时间显著短于对照组(P<0.05),换药次数显著少于对照组(P<0.05),观察组伤口愈合时间以及治疗费用均低于对照组,差异有统计学意义(P<0.05)。结论临床上治疗剖宫产术后腹部脂肪液化患者期间,采用康复新液以及湿性敷料联合治疗并辅以针对性的护理将能够获得显著的疗效,具有较高临床推广价值。Objective To probe into the efficacy of rehabilitation new liquid combined with moist dressing in the treatment of fat liquefaction in abdominal incision.Methods A total of 60 patients with fat liquefaction in abdominal incision after caesarean section who were treated in the People's Hospital of Huadu District in Guangzhou City from September 2018 to June 2020 were studied retrospectively.They were divided into the observation group and the control group according to the random number method,with 30 cases in each group.The control group received traditional dressing change for wound treatment,while the observation group was treated with a combination of rehabilitative new liquid and moist dressing.The differences in the recovery time of the incision after dressing change were compared between the two groups,including the disappearance time of incision exudation,the time of fresh granulation tissue growth on the wound surface,the total incision healing time,and the number of dressing changes.The differences in the indices between the two groups were counted and compared,including incision healing time and treatment cost.Results In the observation group,the time for the disappearance of incision exudation and fresh granulation tissue growth on the wound surface were significantly shorter than those in the control group(P<0.05).The total incision healing time was significantly shorter than that in the control group(P<0.05),and the number of dressing changes was significantly less than that in the control group(P<0.05).The wound healing time and treatment cost in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).Conclusion During the clinical treatment of patients with fat liquefaction in abdominal incision after cesarean section,the combination of rehabilitative new liquid and moist dressing with targeted nursing can achieve significant efficacy,which has high promotion valu e in clinical.

关 键 词：剖宫产 湿性敷料 康复新液 临床护理 腹部切口 脂肪液化 愈合时间 

分 类 号：R473.6[医药卫生—护理学]