摘要
目的:探讨一次性切口牵开器在剖宫产手术中的有效性。方法:回顾性分析2015年1月至2016年1月在广州医科大学附属第二医院行剖宫产术的260例产妇的临床资料,按是否应用一次性切口牵开器分为两组:观察组120例、对照组140例。分别对两组产妇的剖宫产胎儿娩出时间、手术时间、术中出血,术中血尿发生,术后3 d内发热>38.5℃、术后排气时间、切口愈合不良、产褥感染以及新生儿体质量,新生儿Apgar评分等情况进行比较分析。结果:研究组胎儿娩出时间、手术时间缩短,术后发热、切口愈合不良发生情况少于对照组(P<0.05)。两组新生儿Apgar评分、体质量比较,差异无统计学意义(P>0.05)。两组术中出血、血尿发生、术后排气时间、产褥感染发生率比较,差异无统计学意义(P>0.05)。结论:剖宫产术中应用一次性切口牵开器可减少手术相关的不良反应。
Objective： To investigate the effect of disposable incision retractor in cesarean section. Methods ：The clinical data of 260 mothers who underwent cesarean section between January 2015 and January 2010 at the Second Affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. According to whether the disposable incision retractor was used, all patients were divided into two groups ： the study group （n = 120） and the control group （ n = 140 ）, respectively. The delivery time, operation time, intraoperative bleeding,occurrence of intraoperative hematuria, fever〉 38.5 ~C at 3d after the operation, postoperative exhaust time, poor incisional healing, puerperal infection and neonatal weight, and neonatal Apgar score in the two groups were analyzed ,respectively. Results：The adverse reactions of delivery time, operation time, postoperative fever, and poor incisional healing in the study group were less than those in the control group （P〈0.05）. There were no statistically significant differences in the neonatal Apgar score and weight between the two groups （P〉0.05）. There were no statistically significant differences in the intraoperative bleeding, occurrence of hematuria, postoperative exhaust time, and puerperal infection between the two groups （P 〉 0.05 ）. Conclusion： Using disposable incision retractor can reduce the related adverse reactions in cesarean section.
出处
《广州医科大学学报》
2017年第2期21-23,共3页
Academic Journal of Guangzhou Medical University
关键词
切口牵开器
剖宫产术
感染
incision retractor
cesarean section
infection
