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目的探讨腹腔关闭前给药对预防妇产手术盆腔粘连的效果。方法选取漯河市中心医院于2012年4月至2013年12月收治的138例妇产手术患者为研究对象,根据其手术顺序分成研究组(A组,69例)和对照组(B组,69例)两组。B组术毕直接关闭腹腔,A组腹腔关闭前注入欣可聆注射液。比对两组患者术后通气时间、总住院时间差异,记录其盆腔粘连情况。结果 1A组术后通气时间及总住院时间分别为(22.1±10.3)h和(4.1±1.1)d,均显著短于B组的(45.9±20.1)h和(6.4±1.2)d,差异有统计学意义(P<0.05);2A组患者术后盆腔无粘连率为75.4%,显著高于B组的44.9%,差异有统计学意义(P<0.05);B组盆腔粘连评分为(3.2±0.5)分,显著高于A组的(1.6±0.6)分,差异有统计学意义(P<0.05)。结论妇产手术患者腹腔关闭前注射欣可聆可有效降低盆腔粘连风险,对提高其预后质量、缩短治疗时间具有积极意义,值得临床推广。
Objective To investigate the effect of intraperitoneal administration before pelvic adhesions prevention. Methods 138 cases of gynecological and surgical patients admitted from April 2012 to December 2013 in Luohe Central Hospital were enrolled in this study. The patients were divided into study group (A group, 69 cases) and control group (B group, 69 Example) Two groups. In group B, the peritoneal cavity was closed immediately, and group A was injected with cinnabar injection before intraperitoneal closure. Compared two groups of patients after ventilation time, total hospital stay, record the pelvic adhesions. Results The duration of postoperative ventilation and total hospital stay in group A were (22.1 ± 10.3) h and (4.1 ± 1.1) days, respectively, which were significantly shorter than those in group B (45.9 ± 20.1) h and (6.4 ± 1.2) d, respectively (P <0.05). The rate of postoperative pelvic adhesions in group A was 75.4%, which was significantly higher than that in group B (44.9%, P <0.05). The pelvic adhesion score in group B was (3.2 ± 0.5), which was significantly higher than that in group A (1.6 ± 0.6), the difference was statistically significant (P <0.05). Conclusions It is of great significance to improve the quality of prognosis and shorten the treatment time by injecting Xinkelang before abdominal surgery in patients with obstetrics and gynecology, which is worthy of clinical promotion.