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

近年来袁随着生育观念的改变袁产妇剖宫产 率不断上升遥 而腹部切口脂肪液化是剖宫产术后 常见的并发症之一袁特别是肥胖产妇更易发生咱1暂遥 切口脂肪液化是切口内脂肪细胞无菌性变性坏 死过程袁 由于细胞破裂后脂滴流出形成液态脂
现代临床护理渊酝燥凿藻则灶 悦造蚤灶蚤糟葬造 晕怎则泽蚤灶早冤切口脂肪液化的效果比较及护理
陈淳袁陈洁冰袁吴丽容袁胡丽君袁王马列 渊中山大学附属第一医院妇产科袁广东广州袁510080冤
咱摘要暂 目的 探讨藻酸盐敷料渊alginate dressing袁AD冤尧封闭式负压引流渊vacuum sealing drainage袁VSD冤和常规换药 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袁为临床提供更多可选择的切口换药方案遥 方法 选 择本院剖宫产术后切口脂肪液化产妇 94 例袁按抽签法将产妇随机分为 AD 组 31 例袁VSD 组 30 例袁对照组 33 例遥 AD 组产 妇切口采用 AD 换药法袁VSD 组产妇切口采用 VSD 换药法袁对照组产妇切口采用传统换药法遥 比较 3 组产妇切口甲级愈合 时间尧换药频度尧换药总花费及换药时疼痛程度情况遥 结果 AD 组与 VSD 组产妇切口甲级愈合时间快于对照组袁换药频 度少于对照组曰AD 组产妇切口总花费少于其他两组曰VSD 组产妇切口换药频度优于其他两组袁各组两两比较袁差异有统计 学意义渊均 P约0.0167冤遥 3 组产妇切口换药时疼痛程度比较袁P<0.05袁差异有统计学意义曰其中 AD 组尧VSD 组产妇换药时疼 痛程度均轻于对照组袁组间比较袁差异有统计学意义渊均 P约0.0167冤遥 结论 AD 换药法处理剖宫产术后腹部切口脂肪液化 费用经济袁VSD 法换药频度少袁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遥
咱关键词暂 切口脂肪液化曰藻酸盐敷料曰封闭式负压引流曰护理 咱中图分类号暂 R473.71 咱文献标识码暂 粤 咱文章编号暂 员远苑员原愿圆愿猿渊圆园员8冤10原园园45原园4 咱阅韵陨暂 10.3969/j.issn.1671-8283.2018.10.009
Effects of three different methods on incision fat liquefaction from cesarean section
Chen Chun, Chen Jiebing,Wu Lirong, Hu Lijun,Wang Malie//Modern Clinical Nursing袁-2018袁17渊10冤院45. 渊Department of Obstetrics and Gynecology, the First Affiliated Hospital,Sun Yat-sen University, Guangzhou袁 510080, China冤 咱粤遭泽贼则葬糟贼暂 韵遭躁藻糟贼蚤增藻 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. 咱运藻赠 憎燥则凿泽暂 fat liquefaction of incision; alginate dressing; vacuum sealing drainage; nursing