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目的探讨如意金黄散外敷预防妇产科腹部切口脂肪液化的临床效果。方法选取妇产科行腹部手术肥胖患者140例随机分为观察组与对照组各70例,对照组术后第2天使用0.5%碘伏常规消毒腹部切口后,覆盖一次性无菌敷料贴,术后第6天再更换一次,观察组术后第2天根据切口范围取适量如意金黄散适量加白醋或氯化钠溶液调至糊状后均匀涂抹在纱布上外敷以切口。1次/d,连续3～4d。结果 70例观察组合并脂肪液化3例,发生率5.71%,包括轻度2例、中度1例;对照组脂肪液化发生率20.00%,轻度8例、中度8例、重度4例。观察组脂肪液化发生率低于对照组、脂肪液化程度也轻于对照组(P<0.05)。结论如意金黄散可有效预防妇产科腹部手术切口脂肪液化,且本法经济实惠,患者易于接受,值得临床应用。
Objective To investigate the clinical effect of “Ruyi Jinshuang Powder” on prevention of fat liquefaction in abdominal incision of obstetrics and gynecology. Methods A total of 140 obese patients undergoing abdominal surgery in obstetrics and gynecology were randomly divided into observation group and control group, 70 cases in each group. The control group was treated with 0.5% iodophor routine disinfection of abdominal incision on the second postoperative day, After the first 6 days to replace the observation group after 2 days according to the range of incision to take appropriate amount of golden powder plus white vinegar or sodium chloride solution was transferred to the paste evenly applied to the gauze topical incision. 1 times / d, for 3 ~ 4d. Results In the observation group of 70 cases, there were 3 cases with fat liquefaction, the incidence rate was 5.71%, including 2 cases in mild and 1 case in moderate. The incidence of fatty liquefaction in control group was 20.00%, 8 cases were mild, 8 cases were moderate and 4 cases were severe. The incidence of fatty liquefaction in the observation group was lower than that in the control group, and the degree of liquefaction was also lighter than that in the control group (P <0.05). Conclusion Ruyi golden yellow powder can effectively prevent obesity in abdominal obstetrics and gynecology incision liquefaction, and this method is affordable, the patient is easy to accept, worthy of clinical application.