切口綜合處理對剖宮產術後切口愈合的促進效果分析
整形美容
作者：張銀芳
[摘要]目的：探討切口綜合處理對剖宮產術後切口愈合的影響。方法：120例剖宮產產婦隨機分為觀察組和對照組，對照組采用常規術後切口處理方法，觀察組采用綜合切口處理，比較兩組切口愈合的情況、疼痛、舒適度及住院時間。結果：觀察組切口愈合程度好於對照組，愈合時間短於對照組，換藥次數少於對照組，疼痛程度輕於對照組，住院時間短於對照組，生理和心理舒適度高於對照組，對切口美觀的滿意度高於對照組，差異有統計學意義（P
[關鍵詞]切口綜合處理；剖宮產；切口愈合
[中圖分類號]R622 [文獻標誌碼]A [文章編號]1008-6455（2015）11-0018-03
Abstract： Objective To explore the effect of comprehensive wound nursing on the wound healing after cesarean section. Methods 120 cases of cesarean section puerperant were randomly divided into the observation group and the control group，the control group was used conventional wound nursing，the observation group was used comprehensive wound nursing，two groups were compared with wound healing，pain，comfort and hospitalization time. Results Wound healing in the observation group was better than that in the control group，the healing time was shorter than that in the control group，the frequency of dressing change were less than those in the control group，pain was milder than that in the control group，the hospitalization time was shorter than that in the control group，the physiological and psychological comfort was higher than that in the control group，the incision satisfaction was higher than that in the control group，the difference was statistically significant（P
Key words：incision nursing；cesarean section；wound healing
剖宮產是產婦分娩的方式之一，是指通過手術切開產婦的腹壁和子宮取出胎兒的過程。與順產相比，剖宮產是一種有創傷性的操作，旨在解決嚴重合並症、難產、並發症等以期降低母嬰的發病率和死亡率。剖宮產切口愈合問題是術後護理的重點，切口愈合不良，嚴重影響產婦的術後康複，不僅增加了產婦的痛苦，而且延長了住院時間，加重了經濟負擔[1]。近年來，隨著孕期肥胖、高齡產婦人數的不斷增加，使得剖宮產率越來越高，剖宮產術後切口愈合不良的產婦也逐漸增加。筆者所在科室於2014年12月-2015年2月對60例剖宮產產婦術後采用綜合切口處理，效果滿意，現報道如下。
1 資料和方法
1.1 一般資料
120例剖宮產產婦，納入標準：①均簽署知情同意書；②年齡21～35歲；③孕周36+1～40+5周，單胎，初產婦；④均無慢性病史，以往身體健康；⑤凝血功能正常；⑥均符合剖宮產指征，均采用腹部橫切口；⑦認知能力、溝通能力正常，能完成相關調查；排除標準：①合並有妊娠期糖尿病、高血壓、貧血等高危妊娠患者；②伴有重要器官嚴重障礙者；③嚴重的營養不良；④體型過於肥胖者（皮下脂肪>5.0cm）；將該組患者采用隨機數字表法分為觀察組和對照組，每組60例。觀察組年齡平均（26.5±6.2）歲，孕周平均（38.5±1.5）周，孕次（1.8±1.1）次，體質量（64.9±10.5）kg，身高（159.2±6.2）cm。對照組年齡平均（26.8±5.7）歲。孕周平均（38.3±2.2）周。孕次（1.9±1.2）次，體質量（65.0±11.2）kg，身高（160.3±5.8）cm。兩組產婦在年齡、孕周、孕次、體質量、身高等方麵均無統計學意義（P>0.05）。