欣可聆与地塞米松在妇科腹腔镜术后预防盆腔粘连临床应用比较.docVIP

欣可聆与地塞米松在妇科腹腔镜术后预防盆腔粘连临床应用比较 　　【摘要】 目的 对比研究欣可聆与地塞米松在妇科腹腔镜术后预防盆腔粘连的临床疗效。方法 124例妇科腹腔镜手术患者被随机分为3组:欣可聆组、地塞米松组及对照组。观察术后住院期间患者肠鸣音恢复时间、通气排便时间及术后住院时间情况,并于术后1个月至1年,对患者进行电话回访,了解患者恢复情况。结果 住院期间患者术后恢复情况,欣可聆组均优于地塞米松组和对照组(P0.05);术后1年电话回访,收集患者出现的腹部坠胀感、腰骶部酸痛、包裹性积液及疾病复发病等情况,欣可聆组显著优于地塞米松组和对照组(P0.01)。结论 欣可聆较地塞米松能更好地预防腹腔镜术后盆腔粘连的发生,值得在妇科腹腔镜术中推广应用。 　　【关键词】欣可聆;地塞米松;妇科腹腔镜;盆腔粘连 　　 　　Comparison of clinical application between Singclean and dexamethasone in preventing pelvic adhesions after gynecological laparoscopic surgery 　　 　　ZANG Zhi-jia,YUAN Ai-qin,LIUTing-ting,et al.Guangzhou Haizhu District Maternal and Child Health Hospital,Guang Dong,510240,China 　　 　　【Abstract】 Objective Comparative studying the clinical efficacy of Singclean and dexamethasone for preventing pelvic adhesions after gynecologic laparoscopic surgery.Methods 124 cases of gynecologic laparoscopic surgery were randomly divided into 3 groups:Singclean group,dexamethasone group and control group.Peristaltic sound recovery time,ventilation defecation time,and postoperative hospital days were observed in patients during hospitalization.The recovery of patients were monitored using telephone interview from 1 month to 1 year after discharge from hospital.Results Singclean group of postoperative recovery were superior to dexamethasone group and control group(P0.05)during hospitalization;a sense of abdominal bulge,lumbosacral pain,encapsulated fluid and disease recurrence of disease of Singclean group patients were significantly superior to dexamethasone group and control group(P0.01)one year after surgery through telephone interview.Conclusion Singclean compared with dexamethasone can better prevent the occurrence of pelvic adhesions after laparoscopic surgery,it is worth in the popularization and application of gynecologic laparoscopic surgery. 　　【Key words】Singclean; Dexamethasone; Laparoscopic; Pelvic adhesions 　　 　　腹腔镜手术作为微创治疗方法现广泛用于妇科领域,已成为治疗妇科需手术疾病的首选,但腹腔镜术后如何预防术后再粘连仍是临床需要解决的难点。目前,临床上常使用地 　　塞米松用于预防腹腔镜术后盆腔粘连的发生