医用几丁糖预防剖宫产术后粘连疗效观察.docVIP

医用几丁糖预防剖宫产术后粘连疗效观察 　　[摘要] 目的 探讨医用几丁糖预防剖宫产术后粘连的疗效。 方法 以2005年1月～2013年6月收治的二次剖宫产产妇为样本库，治疗组（使用医用几丁糖）102例，对照组（未使用医用几丁糖）100例。观察两组患者第二次剖宫产术时的盆腹腔粘连情况及第一次剖宫产术后排气时间、腹痛情况、术后病率、出血量及切口愈合情况。结果 两组患者盆腹腔粘连情况：治疗组预防粘连有效率达78.4％；而对照组50.0％，差异有统计学意义（χ2＝17.79，P0.05）。结论 几丁糖预防剖宫产手术后粘连效果显著，同时可缓解疼痛促进术后早排气。 　　[关键词] 剖宫产； 医用几丁糖； 盆腹腔粘连 　　[中图分类号] R719.8[文献标识码] B[文章编号] 1673-9701（2014）15-0038-03 　　 　　Curative effects of medical chitosan in the prevention of adhesion after caesarean section 　　WANG Hongjuan 　　Department of Obstetrics and Gynecology, Jianggan District People’s Hospital of Hangzhou City, Hangzhou 310016, China 　　[Abstract] Objective To explore the curative effects of medical chitosan in the prevention of adhesion after caesarean section. Methods The parturients who were admitted to our hospital from January 2005 to June 2013 and received repeated caesarean section were selected as samples. 102 parturients were assigned into treatment group (with the use of medical chitosan), and 100 parturients were assigned into control group (without the use of medical chitosan). The conditions of pelvic and abdominal adhesion of the two groups during the repeated caesarean section were observed. The intestinal exhaust time, conditions of abdominal pain, postoperative morbidity, amount of bleeding and incision conditions after the first caesarean section were also observed. Results The conditions of pelvic and abdominal adhesion of the two groups showed that the effective rate of adhesion prevention in treatment group was 78.4%, while that in control group was only 50.0%. The difference of the two groups was statistically significant (χ2＝17.79，P0.05). Conclusion Chitosan in the prevention of adhesion after caesarean section are significantly effective, which also helps alleviate pain and promote postoperative intestinal exhaust. 　　[Key words] Caesarean section; Medical chitosan; Pelvic and abdominal adhesion盆腹腔粘连是妇科腹部手术后的常见并发症，粘连在一定条件下可能发展为肠梗阻、不孕症及慢性盆腔炎，给患者带来极大痛苦，同时也给再次开腹手术带来很大困难和风险[1]。因此，寻找一