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目的探讨右旋糖酐40联合地塞米松防治剖宫产术后腹腔粘连临床效果。方法 100例因妇产科疾病再次开腹手术患者,均有一次剖宫产史,其中50例患者在前次剖宫产时应用右旋糖酐40联合地塞米松做为观察组,无应用预防粘连药物的50例做为对照组,术中观察比较腹腔粘连情况。结果观察组术中见腹腔粘连发生率低(10%),与对照组相比(28%)差异有统计学意义(P<0.05)。结论剖宫产术中应用右旋糖酐40联合地塞米松对预防腹腔粘连有很好的临床效果,值得借鉴。
Objective To investigate the clinical effect of dextran 40 combined with dexamethasone in prevention and treatment of celiac adhesions after cesarean section. Methods One hundred patients undergoing open surgery again due to obstetrics and gynecology had a history of cesarean section. 50 patients were treated with dextran 40 combined with dexamethasone as the observation group in the previous cesarean section. There was no prevention of adhesion drug 50 cases as a control group, intraoperative observation and comparison of abdominal adhesions. Results The incidence of abdominal adhesions in observation group was lower (10%) than that in control group (28%) (P <0.05). Conclusion The application of dextran 40 combined with dexamethasone in cesarean section has a good clinical effect in preventing abdominal adhesions and is worth learning from.