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目的探讨影响剖宫产切口愈合因素,为今后临床工作寻找预防切口愈合不良的有效措施,并达到降低术后切口愈合不良发生率的目的。方法回顾性调查我院剖宫产腹部切口愈合不良101例,按1∶2比例随机选择同期无切口愈合不良剖宫产202例作为对照研究。结果影响患者切口愈合不良的因素较多,主要包括产妇本身肥胖等自身体质,合并营养不良、贫血、高血压、糖尿病,低蛋白血症、水肿等基础疾病,破膜时间长,多次阴道检查试产失败,病房使用频率高,手术操作不规范,未合理应用抗生素。在101例中,切口裂开者2例,脂肪液化者45例,切口感染者47例,切口上缘皮肤因缺血坏死者7例。经过积极正确的治疗,全部治愈。结论影响剖宫产切口愈合不良的因素较多,只要我们及早预防,及时诊断处理,加强术后切口和病房管理,提高个人技术操作,就能有效地减少术后切口愈合不良的发生。
Objective To explore the influencing factors of cesarean section incision healing and find effective measures to prevent incision healing in future clinical work and to reduce the incidence of postoperative incision poor healing. Methods A retrospective investigation of cesarean section in our hospital abdominal incision 101 cases of poor healing, according to the ratio of 1: 2 randomly selected during the same period without incision poor cesarean section 202 cases as a control study. Results There were a lot of factors affecting the incision healing of the patients, including maternal obesity and other physical constitution, malnutrition, anemia, hypertension, diabetes, hypoproteinemia, edema and other underlying diseases, prolonged rupture of membranes, multiple vaginal examinations Trial production failed, ward use high frequency, surgical operation is not standardized, not rational use of antibiotics. In 101 cases, there were 2 cases of incision incision, 45 cases of fat liquefaction, 47 cases incision infection, and 7 cases of incision upper edge skin due to ischemic necrosis. After a positive and correct treatment, all cured. Conclusion There are many factors that affect the healing of cesarean section incision. As long as we prevent and diagnose it as soon as possible, strengthen the postoperative incision and ward management and improve the personal technical operation, we can effectively reduce the incidence of postoperative wound healing.