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目的研究剖宫产术后切口脂肪液化的治疗方法。方法 46例行剖宫产手术且术后发生切口脂肪液化患者随机均分两组各23例,对照组中轻度患者常规换药挤压消毒,中重度患者拆除缝线,清创治疗,先后用双氧水、生理盐水清洗切口,使用庆大霉素预防感染。均治疗至切口愈合。试验组在对照组治疗基础上加用中药冰片和芒硝(15g:30g)细末均匀平摊至敷料上,定期更换直至伤口愈合。比较两组切口愈合时间和愈合效果。结果试验组愈合时间(5.5±1.7)d明显优于对照组(13.1±0.2)d,(P<0.05)。试验组愈合效果甲级达82.6%显著优于对照组60.9%,丙级未见0.0%,显著优于对照组13.0%,(P<0.05)。结论冰片和芒硝敷于切口可促进患者血液循环,加快切口愈合,有效预防感染,显著提高愈合效果,值得推广。
Objective To study the treatment of incision fat liquefaction after cesarean section. Methods 46 cases of cesarean section surgery and incision fat liquefaction patients were randomly divided into two groups of 23 cases in each group, the control group of mild patients common dressing squeeze disinfection, removal of suture in patients with moderate to severe debridement, With hydrogen peroxide, saline wash incision, the use of gentamicin to prevent infection. All treatment until the wound healing. The experimental group in the control group based on the use of Chinese medicine borneol and Glauber’s salt (15g: 30g) fine evenly spread evenly to the dressing, regular replacement until the wound healing. The wound healing time and healing effect were compared between the two groups. Results The healing time of the experimental group (5.5 ± 1.7) d was significantly better than that of the control group (13.1 ± 0.2) d (P <0.05). In the experimental group, the healing effect of grade A was 82.6%, which was significantly better than that of the control group (60.9%), while that of the control group (0.0%) was significantly better than that of the control group (13.0%, P <0.05). Conclusion Borneol and mirabilite applied to the incision can promote blood circulation, accelerate incision healing, effectively prevent infection, significantly improve the healing effect, it is worth promoting.