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目的观察腹腔关闭前给药对预防妇产手术盆腔粘连的效果。方法选取尉氏县人民医院2015年3月—2016年3月收治的160例妇产手术患者,随机分为对照组和观察组各80例,两组均为开腹手术治疗,对照组术后直接关闭腹腔;观察组在腹腔关闭前使用透明质酸钠预防粘连。观察两组术后通气时间、总住院时间及盆腔粘连情况。结果研究显示,观察组术后通气时间和总住院时间均显著短于对照组(P<0.05),观察组患者术后盆腔粘连情况均小于对照组(P<0.05)。结论妇产手术中在腹腔关闭前应用透明质酸钠能有效预防和减少手术后盆腔粘连,值得临床推广。
Objective To observe the effect of intraperitoneal administration before pelvic adhesions prevention. Methods A total of 160 maternity patients admitted to Weishi County People’s Hospital from March 2015 to March 2016 were randomly divided into control group and observation group of 80 cases. Both groups were treated by open surgery. In the control group, The abdominal cavity was closed directly. The observation group used sodium hyaluronate to prevent adhesion before the abdominal cavity was closed. The duration of postoperative ventilatory time, total length of hospital stay and pelvic adhesions were observed. Results The study showed that the duration of postoperative ventilation and total hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). The postoperative pelvic adhesions in the observation group were all less than those in the control group (P <0.05). Conclusions The application of sodium hyaluronate before the closure of abdominal cavity in the operation of obstetrics and gynecology can effectively prevent and reduce pelvic adhesions after operation, which is worthy of clinical promotion.