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目的:分析剖宫产术后切口感染裂开的临床预防及对策。方法:择取广州市增城区新塘镇艾玛妇产医院2014年4月至2016年4月剖宫产术后切口感染裂开患者76例,随机分为常规组和干预组。总结患者切口感染裂开原因,常规组采用常规创面处理、引流和换药等;干预组在常规组基础上用生姜和茶油填塞伤口。比较两组患者剖宫产术后切口感染裂开治疗效果;切口平均愈合时间、住院时间;治疗前生活质量。结果:切口感染裂开原因中,有肛检和阴道检查次数多、产妇合并基础疾病、手术时间过长、术者操作不当等。干预组患者剖宫产术后切口感染裂开治疗效果显著比常规组高,差异具有统计学意义(P<0.05);干预组切口平均愈合时间、住院时间显著比常规组短,差异具有统计学意义(P<0.05)。治疗前两组生活质量相似,差异均无统计学意义(P>0.05);治疗后干预组相较于常规组生活质量改善更显著,差异具有统计学意义(P<0.05)。结论:剖宫产术后切口感染裂开原因较多,在常规创面处理、引流和换药基础上给予生姜和茶油填塞伤口效果确切,可加速切口愈合,提高治疗效果,缩短住院时间,改善患者生活质量。
Objective: To analyze the clinical prevention and treatment of incision infection after cesarean section incision. Methods: A total of 76 patients with incisional wound infection after cesarean section were selected from April 2014 to April 2016 in Emma Maternity Hospital, Xintang Town, Zengcheng District, Guangzhou City, and randomly divided into routine group and intervention group. The causes of incision wound infection in patients with incisional wound were summarized. Conventional wound dressing, drainage and dressing change were performed in the conventional group. The intervention group was infused with ginger and tea oil on the basis of conventional group. The curative effect of incision infection after cesarean section was compared between the two groups. The average incision healing time and hospitalization time were compared. The quality of life before treatment was compared. Results: incision infection causes, there are anal and vaginal examination frequency, maternal combined with underlying diseases, surgery time is too long, the surgeon improper operation. Intervention group patients with cesarean section incision infection split open treatment effect was significantly higher than the conventional group, the difference was statistically significant (P <0.05); intervention group incision average healing time, hospitalization was significantly shorter than the conventional group, the difference was statistically significant Significance (P <0.05). The quality of life of the two groups before treatment was similar, with no significant difference (P> 0.05). After treatment, the quality of life of the intervention group was more significant than that of the conventional group, with significant difference (P <0.05). Conclusion: There are many reasons for wound incision infection after cesarean section. Ginger and tea oil can be used to fill the wound on the basis of conventional wound treatment, drainage and dressing change. It can accelerate incision healing, improve the curative effect, shorten hospital stay and improve Quality of life of patients.