在第三级护理教学医院的剖腹产患者中,连续和中断的直肠关闭之间的比较研究
Sumita Saroj1, Hemraj R Narkhede1,2, Rahul Chavan1
1Department of Obstetrics and Gynaecology, PCMC' S Post Graduate Institute, Sant Tukaram, Nagar, Pimpri, Pune, Maharashtra 411019 India.
Journal of obstetrics and gynaecology of India
|August 25, 2025
概括
与连续关闭相比,剖腹产后间歇性直肠关闭显著减少了手术部位感染 (SSI). 这种方法减少了伤口并发症,改善了患者的康复和结果.
科学领域:
- 产科和妇科
- 预防手术部位感染
- 伤口的愈合
背景情况:
- 手术部位感染 (SSI) 是剖腹产后的一种严重并发症,在全球范围内的发病率为3-15%.
- 造成孕产妇死亡率,并给患者及其家属带来严重的身体和情感负担.
研究的目的:
- 为了比较两个直肠封闭技术之间的切口SSI的发生率:连续和间歇性.
- 评估不同封闭方法对剖腹产术后伤口并发症的影响.
主要方法:
- 一项涉及578名剖腹产患者的比较观察研究.
- 患者被分为两个相同的组 (每组n=289), 一组接受连续直肠盖封闭,另一组接受间歇性封闭.
- 在手术后分析伤口并发症.
主要成果:
- 在578名患者中,SSI的总发病率为8. 1%.
- 与持续关闭组 (12. 8%) 相比,间歇关闭组的SSI率较低.
- 间歇性治疗组显示减少了硬化,疼痛,血清性排泄和表面脱落,但对于重新处理的需要而言没有统计学意义 (p=0. 651).
结论:
- 与连续接相比,间歇性接与SSI发生率较低,剖腹产后临床表现较少.
- 采用间歇性接可以显著减少手术后的并发症,如伤口泄漏和脱,从而改善患者的治疗结果.
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