剖宫产术后皮下放置负压引流管对切口愈合的影响研究  

Study on the effect of subcutaneous negative pressure drainage tube on wound healing after cesarean section

作　　者：陈梅芳 陈素兰 CHEN Mei-fang;CHEN Su-lan(Obstetrics Department,Youxi General Hospital,Sanming 365100,China)

机构地区：[1]三明市尤溪县总医院产科,365100

出　　处：《中国现代药物应用》2024年第17期43-45,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 研究剖宫产术后皮下放置负压引流管对切口愈合的影响。方法 抽取79例剖宫产产妇,随机分为观察组(40例)和对照组(39例)。观察组进行腹壁缝合时,在皮下放置引流管,外接负压引流球;对照组进行腹壁缝合时切口和缝合部位与观察组相同,但不放置引流管。对比两组产妇术后基本情况,术后切口愈合情况,术后切口并发症发生情况,术后1周炎症指标[白细胞介素-6(IL-6)、白细胞介素-1(IL-1)]水平。结果 观察组产妇切口愈合时间(7.64±1.43)d、住院时间(8.24±1.73)d短于对照组的(9.83±2.23)、(9.14±2.24)d,换药次数(4.23±1.15)次少于对照组的(5.86±2.38)次,组间差异有统计学意义(P<0.05)。观察组甲级愈合率97.50%明显高于对照组的84.62%,二次缝合率2.50%低于对照组的15.38%,组间差异有统计学意义(P<0.05)。观察组产妇术后切口并发症发生率5.00%低于对照组的20.51%,组间差异有统计学意义(P<0.05)。观察组产妇术后1周IL-6、IL-1明显低于对照组,组间差异有统计学意义(P<0.05)。结论 剖宫产术后在常规缝合的基础上皮下放置负压引流管,切口愈合情况明显优于常规缝合方法,可将切口处的血液、渗出液和脂肪液化液及时引流出,减少炎性反应,促进伤口愈合,与传统的挤压法排出渗液相比,降低挤压移位对伤口愈合的影响,避免因挤压伤口给产妇带来的疼痛。Objective To study the effect of subcutaneous negative pressure drainage tube on wound healing after cesarean section.Methods 79 puerpera undergoing cesarean section were randomly selected and divided into the observation group(40 cases) and the control group(39 cases).When the observation group underwent abdominal wall suturing,a drainage tube was placed subcutaneously and externally connected with a negative pressure drainage ball;When the control group underwent abdominal wall suturing,the incision and suturing site were located in the same position as the observation group,but no drainage tube was placed.Both groups were compared in terms of basic postoperative condition,postoperative incision healing,occurrence of postoperative incisional complications,and levels of inflammatory indexes [interleukin-6(IL-6) and interleukin-1(IL-1)] at 1 week after surgery.Results The observation group had wound healing time of(7.64±1.43) d and hospital stay of(8.24±1.73) d,which were shorter than(9.83±2.23) and(9.14±2.24) d in the control group;the dressing change frequency of(4.23±1.15) times was less than(5.86±2.38) times in the control group;the difference between groups was statistically significant(P<0.05).The grade A healing rate of 97.50% in the observation group was significantly higher than 84.62% in the control group,and the probability of secondary suturing of 2.50% was lower than 15.38% in the control group.The difference between groups was statistically significant(P<0.05).The incidence of postoperative incisional complications of 5.00% in the observation group was much lower than 20.51% in the control group,and the difference between groups was statistically significant(P<0.05).At 1 week after surgery,the observation group had obviously lower IL-6 and IL-1 than the control group,and the difference between groups was statistically significant(P<0.05).Conclusion After using subcutaneous negative pressure drainage tube on the basis of conventional sutures,the wound healing is significantly better than conven

关 键 词：剖宫产 术后切口愈合 皮下放置 负压引流管 

分 类 号：R719.8[医药卫生—妇产科学]