中药外敷联合微波透入对再次剖宫产切口愈合影响.docVIP

中药外敷联合微波透入对再次剖宫产切口愈合的影响 　　【摘要】 目的 探讨中药外敷联合微波透入对再次剖宫产切口愈合的影响。方法 332例再次剖宫产产妇， 随机分为观察组和对照组， 各166例。于手术后第2天观察组在切口处使用中药大黄、芒硝外敷并微波透入， 对照组仅使用中药大黄和芒硝外敷， 于手术后5 d停用， 观察两组切口愈合情况、并发症（脂肪液化、切口感染、切口裂开）发生情况及平均脂肪液化天数和平均住院天数。结果 观察组的甲级愈合率为94%， 对照组甲级愈合率为73%， 观察组切口甲级愈合率明显高于对照组， 差异具有统计学意义 （Plt;0.05）。观察组并发症发生率为4%， 低于对照组的20%， 差异有统计学意义（Plt;0.05）。观察组平均脂肪液化天数、平均住院天数均短于对照组， 差异有统计学意义（Plt;0.01）。结论 针对再次剖宫产产妇， 采用中药大黄、芒硝外敷联合微波透入治疗方法可更为有效地促进再次剖宫产切口的愈合， 并在一定程度上降低并发症的发生率， 值得推广。 　　【关键词】 再次剖宫产;子宫切口;中药外敷联合微波;愈合 　　DOI：10.14163/j.cnki.11-5547/r.2018.07.049 　　【Abstract】 Objective To discuss the effect of external application of traditional Chinese medicine combined with microwave penetration on the healing of incision in repeated cesarean section. Methods A total of 332 puerpera with repeated cesarean section were randomly divided into observation group and control group， with 166 cases in each group. At 2 d after operation， the observation group was treated with rhubarb and mirabilite for external application and microwave penetration at the incision， and the control group was treated with external application of rhubarb and mirabilite and stopped at 5 d after operation. Observation were made on incision healing condition， complications （fat liquefaction， incision infection and incision split） and average fat liquefaction time and average hospitalization time between the two groups. Results The observation group had grade A healing rate as 94%， which was 73% in the control group. The observation group had obviously higher grade A healing rate than the control group， and the difference was statistically significant （Plt;0.05）. The observation group had lower incidence of complications as 4% than 20% in the control group， and the difference was statistically significant （Plt;0.05）. The observation group had shorter average fat liquefaction time and average hospitalization time than the control group， and the difference was statistically significant （Plt;0.01）. Conclusion For 　　puerpera with repeated ces