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目的:通过历史病例分析探讨妇产科腹部手术切口脂肪液化的原因以及相应的预防措施,以减少脂肪液化的发生,为今后的工作提供指导。方法:选取2012年2月至2014年3月期间我院妇产科收治的47例发生腹部手术切口脂肪液化患者作为本组研究的观察对象,按照入院先后顺序分为对照组(24例)与观察组(23例),对照组给予常规治疗,观察组在常规治疗的基础上给予相应预防措施,对其脂肪液化的具体原因进行回顾性分析,并对比两组的切口愈合率、愈合时间及住院时间结果:(1)肥胖、妊娠期高血压、营养不良、糖尿病、使用高频电刀等是手术切口脂肪液化主要原因;(2)观察组的切口愈合时间及住院时间均明显低于对照组,具有统计学意义(P<0.05)。结论:针对手术切口发生脂肪液化的发生原因给予相应的预防措施,可以有效减少手术切口脂肪液化的发生,缩短住院时间,值得在临床中推广应用。
OBJECTIVE: To investigate the causes of fat liquefaction in obstetrics and gynecology abdomen incision and its corresponding preventive measures through historical case analysis in order to reduce the occurrence of fat liquefaction and provide guidance for future work. Methods: Forty-seven patients with fat-induced liquefaction who underwent abdominal surgical incision during the period from February 2012 to March 2014 were selected as observation subjects in this study. According to the order of admission, 24 cases were divided into control group The observation group (23 cases) and the control group were given routine treatment. The observation group was given the corresponding preventive measures on the basis of routine treatment. The specific causes of fat liquefaction were analyzed retrospectively. The healing rate, Hospitalization time results: (1) obesity, gestational hypertension, malnutrition, diabetes mellitus, the use of high frequency electric knife is the main reason of surgical incision fat liquefaction; (2) the observation group incision healing time and hospitalization time were significantly lower than the control Group, with statistical significance (P <0.05). Conclusion: The prevention of fat liquefaction caused by surgical incision should be given corresponding preventive measures, which can effectively reduce the occurrence of fat liquefaction and shorten the length of hospital stay, which is worth popularizing in clinic.