[1]余映华,周 颖.二次剖宫产皮肤切口垂直褥式缝合瘢痕愈合的疗效观察[J].医学信息,2021,34(19):130-132.[doi:10.3969/j.issn.1006-1959.2021.19.034]
　YU Ying-hua,ZHOU Ying.The Curative Effect Observation of Vertical Mattress Suture of Skin Incision onScar Healing in Secondary Cesarean Section[J].Medical Information,2021,34(19):130-132.[doi:10.3969/j.issn.1006-1959.2021.19.034]
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二次剖宫产皮肤切口垂直褥式缝合瘢痕愈合的疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年19期
页码:
130-132
栏目:
临床研究
出版日期:
2021-10-01

文章信息/Info

Title:
The Curative Effect Observation of Vertical Mattress Suture of Skin Incision onScar Healing in Secondary Cesarean Section
文章编号:
1006-1959（2021）19-0130-03
作者:
余映华; 周 颖
南京市溧水区人民医院产科，江苏 南京 211200
Author(s):
YU Ying-hua; ZHOU Ying
Department of Obstetrics,Nanjing Lishui District People’s Hospital,Nanjing 211200,Jiangsu,China
关键词:
二次剖宫产; 皮肤切口; 垂直褥式缝合; 瘢痕愈合
Keywords:
Secondary cesarean section; Skin incision; Vertical mattress suture; Cicatricial healing
分类号:
R719.8
DOI:
10.3969/j.issn.1006-1959.2021.19.034
文献标志码:
A
摘要:
目的 观察二次剖宫产皮肤切口采用垂直褥式缝合瘢痕愈合效果。方法 选取2020年4月-10月在我院进行二次剖宫产的50例产妇为研究对象，采用随机数字表法分为对照组和观察组，各25例。对照组采用常规缝合，观察组采用垂直褥式缝合，比较两组切口愈合优良率、切口缝合时间、切口愈合时间、不同时间点出血量、瘢痕满意度、缝线反应情况以及并发症发生率。结果 观察组切口愈合优良率为96.00%，高于对照组的84.00%，差异有统计学意义（P＜0.05）；观察组切口缝合时间、切口愈合时间均短于对照组，差异有统计学意义（P＜0.05）；观察组术后2、12、24 h出血量均低于对照组，差异有统计学意义（P＜0.05）；观察组瘢痕满意度为92.00%，高于对照组的80.00%，差异有统计学意义（P＜0.05）；观察组0度缝线反应发生率高于对照组，Ⅰ、Ⅱ、Ⅲ度缝线反应发生率低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为8.00%，低于对照组的20.00%，差异有统计学意义（P＜0.05）。结论 二次剖宫产皮肤切口采用垂直褥式缝合，可提高切口愈合优良率，缩短切口缝合和愈合时间，减少术后出血量，提高瘢痕满意度，减轻缝线反应，降低并发症发生率，利于产妇术后恢复。
Abstract:
Objective To observe the scar healing effect of vertical mattress suture on skin incision of second cesarean section.Methods A total of 50 parturient women who underwent second cesarean section in our hospital from April to October 2020 were selected as the study objects. The patients were randomly divided into control group and observation group, with 25 cases in each group. Normal Suture was used in the control group and vertical mattress suture was used in the observation group, the wound healing rate, suture time, wound healing time, blood loss at different time points, scar satisfaction, suture response and complication rate were compared between the two groups.Results The excellent and good rate of wound healing in the observation group was 96.00%, which higher than that 84.00% of the control group, and the difference was statistically significant (P<0.05); the suture time and wound healing time in the observation group were shorter than that in the control group, and the difference was statistically significant (P<0.05); the amount of bleeding at 2, 12 and 24 h in the observation group were lower than that in the control group, and the difference was statistically significant (P<0.05); the satisfactory degree of scar in the observation group was 92.00%, which higher than that 80.00% of the control group, and the difference was statistically significant (P<0.05); the incidence of 0-degree sutures reaction in the observation group was higher than that in the control group, and the incidence of Ⅰ, Ⅱ and Ⅲ-degree sutures in the observation group were lower than that in the control group, and the difference was statistically significant (P<0.05); the incidence of complications in the observation group was 8.00%, which lower than that 20.00% of the control group, and the difference was statistically significant (P<0.05).Conclusion Vertical mattress suture is an effective method for secondary cesarean section, which can improve the rate of wound healing, shorten the time of incision suture and healing, reduce the amount of postoperative bleeding, improve the satisfaction of scar and reduce the reaction of suture and incidence of complications, and benefit the recovery of parturient.

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更新日期/Last Update: 1900-01-01