皮下美容縫合技術在剖宮產(chǎn)術后切口處理中的應用效果(1)
[摘要]目的：探究皮下美容縫合技術在剖宮產(chǎn)術后切口處理中的應用。方法：筆者醫(yī)院2017年1月-2019年4月收治的152例產(chǎn)婦，按照隨機數(shù)表法分為觀察組與對照組，各76例。對照組采用常規(guī)縫合技術，觀察組采用皮下美容縫合技術。比較兩組治療效果、手術相關指標、術后疼痛視覺模擬評分(Visual analogue scale，VAS)、不良反應發(fā)生率及切口愈合等級。結果：觀察組總有效率為96.05%，對照組為80.26%，差異有統(tǒng)計學意義(P<0.05)。觀察組切口縫合時間、手術時間顯著短于對照組，差異有統(tǒng)計學意義(P<0.05);兩組切口長度比較，差異無統(tǒng)計學意義(P>0.05)。兩組術后7d、30d兩組VAS評分呈下降趨勢，觀察組相同時間點均低于對照組(P<0.05)。觀察組切口瘢痕增生率、瘢痕寬度、瘢痕最薄厚度均低于對照組，差異有統(tǒng)計學意義(P<0.05)。觀察組與對照組不良反應發(fā)生率分別為3.95%、15.79%，差異有統(tǒng)計學意義(P<0.05)。觀察組切口愈合甲級為97.37%，而對照組為93.42%，但組間比較差異無統(tǒng)計學意義(P>0.05)。結論：皮下美容縫合技術用于剖宮產(chǎn)可有效提高切口愈合質(zhì)量，顯著改善瘢痕形成和術后疼痛，減少并發(fā)癥發(fā)生，值得推廣應用。
[關鍵詞]剖宮產(chǎn);瘢痕;并發(fā)癥;美容縫合技術;切口愈合
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2020)05-0100-04
Abstract： Objective To investigate the application of subcutaneous cosmetic suture technique in incision treatment after cesarean section. Methods 152 women who were admitted to our hospital between January 2017 and April 2019 were divided into the observation group and the control group according to the random number table method， 76 cases each group. The control group was used a conventional suture technique， and the observation group was used a subcutaneous cosmetic suture technique. The therapeutic effects， surgical related indexes， postoperative VAS scores， adverse reaction rates， and incision healing grades were compared between the two groups. Results The total effective rate was 96.05% in the observation group and 80.26% in the control group， the difference was statistically significant (P<0.05). The incision time and operation time of the observation group were significantly shorter than those of the control group (P<0.05). There was no significant difference in incision length between the two groups (P>0.05). The VAS score of the observation group was lower than that of the control group at the same time (P<0.05). The hypertrophic rate， width and thickness of scar in the observation group were lower than those in the control group (P<0.05). The incidence of adverse reactions was 3.95% in the observation group and 15.79% in the control group， the difference was statistically significant (P<0.05). The incision healing of the observation group was 97.37%， while that of the control group was 93.42%， but there was no significant difference between the two groups (P>0.05). Conclusion Subcutaneous cosmetic suture technique for cesarean section can effectively improve the quality of incision healing， significantly improve scar formation and postoperative pain， and reduce complications. It is worthy of popularization and application., http://www.www.srpcoatings.com(鮑紅玉 李桂花)
[關鍵詞]剖宮產(chǎn);瘢痕;并發(fā)癥;美容縫合技術;切口愈合
[中圖分類號]R622 [文獻標志碼]A [文章編號]1008-6455(2020)05-0100-04
Abstract： Objective To investigate the application of subcutaneous cosmetic suture technique in incision treatment after cesarean section. Methods 152 women who were admitted to our hospital between January 2017 and April 2019 were divided into the observation group and the control group according to the random number table method， 76 cases each group. The control group was used a conventional suture technique， and the observation group was used a subcutaneous cosmetic suture technique. The therapeutic effects， surgical related indexes， postoperative VAS scores， adverse reaction rates， and incision healing grades were compared between the two groups. Results The total effective rate was 96.05% in the observation group and 80.26% in the control group， the difference was statistically significant (P<0.05). The incision time and operation time of the observation group were significantly shorter than those of the control group (P<0.05). There was no significant difference in incision length between the two groups (P>0.05). The VAS score of the observation group was lower than that of the control group at the same time (P<0.05). The hypertrophic rate， width and thickness of scar in the observation group were lower than those in the control group (P<0.05). The incidence of adverse reactions was 3.95% in the observation group and 15.79% in the control group， the difference was statistically significant (P<0.05). The incision healing of the observation group was 97.37%， while that of the control group was 93.42%， but there was no significant difference between the two groups (P>0.05). Conclusion Subcutaneous cosmetic suture technique for cesarean section can effectively improve the quality of incision healing， significantly improve scar formation and postoperative pain， and reduce complications. It is worthy of popularization and application., http://www.www.srpcoatings.com(鮑紅玉 李桂花)
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