碘伏纱布湿敷联合红光照射治疗剖宫产术后腹部切口愈合不良的疗效分析

曲岩

[摘要] 目的 探討碘伏纱布湿敷联合红光照射，治疗剖宫产术后腹部切口愈合不良的疗效。方法 方便选取2015年5月—2017年5月该院收治的剖宫产术后腹部切口愈合不良60例患者作为研究对象，按入院时间先后分为对照组和联合组，每组30例。对照组患者采用常规局部清创后，凡士林纱布湿敷伤口引流，联合组患者常规局部清创后，采用碘伏纱布湿敷联合红光照射治疗，对比两组切口愈合情况、愈合时间、平均住院天数及患者腹部切口疼痛程度。结果 联合组切口甲级愈合率（96.7%）明显高于对照组（73.3%），均差异有统计学意义（χ2=6.68，P<0.05）。联合组患者腹部切口疼痛程度（3.2±0.7）分低于对照组（5.1±1.4）分，平均住院天数（12.6±4.7）d，明显少于对照组（18.5±7.3）d，切口愈合时间（18.6±7.6）d，明显低于对照组（28.4±12.1），均差异有统计学意义（ t=6.441、3.579、11.310，P<0.05） 。结论 碘伏纱布湿敷联合红光照射治疗剖宫产术后腹部切口愈合不良的临床效果较好，值得在基层医院推广应用。

[关键词] 剖宫产术后；切口愈合不良；换药；疗效

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）04（c）-0068-03

Analysis of Curative Effect of Iodophor Gauze Wet Compress Combined with Red Light Irradiation in Treatment of Adverse Healing of Abdominal Incision after the Cesarean Section

QU Yan

Department of Gynecology and Obstetrics， Fengtai Integrated Traditional Chinese and Western Medicine Hospital， Beijing， 100072 China

[Abstract] Objective To investigate the curative effect of iodide gauze wet application combined with red light on abdominal incision healing after cesarean section. Methods 60 cases of patients with abdominal incision after the cesarean section admitted and treated in our hospital from May 2015 to May 2017 were selected as the research objects and divided into two groups according to the admission order with 30 cases in each， the control group used the petrolatum gauze for wet compress drainage， after the routine local debridement， while the combined group used the iodophor gauze wet compress combined with red light irradiation after the routine local debridement， and the incision healing， healing time， average length of stay and abdominal incision pains degree were compared between the two groups. Results The level A healing rate of incision in the combined group was obviously higher than that in the control group， （96.7% vs 73.3%）， and the difference was statistically significant （χ2=6. 68， P<0.05）， and the pains degree of abdominal incision in the combined group was lower than that in the control group[（3.2±0.7）points vs （5.1±1.4）points]， and the average length of stay was obviously lower than that in the control group[（12.6±4.7）d vs （18.5±7.3）d]， and the incision healing time was obviously lower than that in the control group[（18.3±7.6）d vs （28.4±12.1）d]， and the difference was statistically significant （t= 6.441，3.579，11.310， P<0.05）. Conclusion The clinical effect of iodophor gauze wet compress combined with red light irradiation in treatment of adverse healing of abdominal incision after the cesarean section is better， which is worth promotion and application in the primary hospitals.

[Key words]After cesarean section； Adverse healing of incision； Dressing； Curative effect

剖宫产手术可因感染、缺血等原因导致腹部切口延期愈合，腹部切口裂开等统称为切口愈合不良[1]，可继发细菌感染影响产妇身心健康，乳汁分泌障碍，导致腹壁组织纤维化，瘢痕扩大。临床上的处理办法为常规清洁伤口、消毒、手术刀片剔除坏死组织，二次缝合等方法，这样使得腹部切口愈合时间较长[2]。该文方便选取2015年5月—2017年5月该院收治的剖宫产术后腹部切口愈合不良60例患者作为研究对象。应用碘伏纱布湿敷联合红光照射治疗剖宫产术后腹部切口愈合不良，取得良好效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选取收治该院剖宫产术后腹部切口愈合不良60例患者作为研究对象，按入院时间先后分为对照组和联合组，每组30例，年龄 22～45岁，体重 75～110 kg。……