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目的:探索预防剖宫产腹部切口脂肪液化的方法。方法:选取2011年10月~2013年10月于本院住院择期剖宫产的产妇100例分为实验组和对照组各50例,两组均采用下腹正中纵切口,腹壁脂肪均厚3~5 cm,采用强生公司4/0薇乔线皮内缝合皮肤。观察组每天常规换药,并分别于术后第2、4天在患者腹部切口中段两侧旁开3 cm部位的脂肪层内各注入10%葡萄糖5 ml加胰岛素4单位混合液;对照组每天常规换药。结果:实验组脂肪液化0例,对照组6例,两组差异有统计学意义(P<0.05);伤口感染实验组1例,对照组2例,两组差异无统计学意义(P>0.05)。结论:剖宫产术后腹部切口脂肪层注射10%葡萄糖加胰岛素混合液能有效地预防腹部切口脂肪液化。
Objective: To explore ways to prevent fatty liquefaction of abdominal incision of cesarean section. Methods: 100 cases of maternal elective cesarean section hospitalized in our hospital from October 2011 to October 2013 were divided into experimental group and control group (n = 50). The two groups were treated with the middle abdominal incision, the mean abdominal fat thickness of 3 ~ 5 cm, using Johnson & Johnson 4/0 Wei Qiao line suture within the skin. The patients in the observation group were given routine drug replacement every day and were respectively injected with 5 ml of 10% glucose and 4 units of insulin solution in the fat layer beside the midsection of the abdomen in the middle of the abdominal incision for 3 and 4 days respectively. In the control group, Regular dressing. Results: There were 0 cases of liquefaction in the experimental group and 6 cases in the control group, the difference between the two groups was statistically significant (P <0.05). One case of wound infection in experimental group and two cases of control group showed no significant difference (P> 0.05 ). Conclusion: After cesarean section incision fat layer injection of 10% glucose plus insulin mixture can effectively prevent abdominal incision fat liquefaction.