摘要
目的分析湿润烧伤膏治疗子宫肌瘤术后腹部切口的临床疗效。方法选取2020年2月至2021年12月平舆县人民医院收治的拟行手术治疗的71例子宫肌瘤患者作为研究对象,按照不同治疗方法将其分为观察组(36例)和对照组(35例),观察组患者子宫肌瘤术后腹部切口采用湿润烧伤膏换药治疗,对照组患者子宫肌瘤术后腹部切口采用酒精换药治疗,对比观察两组患者腹部切口数字分级评分法(NRS)评分、肿胀情况、红肿与出血消失时间、愈合时间及愈合质量。结果术后第3、5、7天,观察组患者腹部切口NRS评分均明显低于对照组(t=9669、19230、13462,P均<0001);术后第1、3、5、7天,观察组患者腹部切口肿胀率均明显低于对照组(χ^(2)=4377、8898、9584、4860,P=0036、0003、0002、0027);观察组患者腹部切口红肿消失时间、出血消失时间及愈合时间均明显短于对照组(t=7887、4237、5104,P均<0001);术后第7天,观察组患者腹部切口甲级愈合26例、乙级愈合10例,明显优于对照组患者的腹部切口甲级愈合15例、乙级愈合18例、丙级愈合2例(Z=-2596,P=0009)。结论湿润烧伤膏可有效降低子宫肌瘤术后腹部切口疼痛程度,改善肿胀症状,缩短切口愈合时间,提高切口愈合质量。
Objective To analyze the clinical efficacy of Moist Exposed Burn Ointment(MEBO)in treating abdominal incisions following myomectomy.Methods 71 patients with uterine fibroids,admitted to Pingyu People’s Hospital from February 2020 to December 2021 for surgical treatment,were enrolled as research subjects to be divided,according to the different treatments they received,into study group(n=36)and control group(n=35).The abdominal incisions following myomectomy of patients in the study group were treated with the dressing change of MEBO,whereas the abdominal incisions following myomectomy of patients in the control group were treated with the dressing change of medical alcohol.The numerical rating scale(NRS)score of the abdominal incision,swelling condition,disappearance time of red swelling and bleeding,incision healing time,and healing quality were compared between the two groups.Results Respec-tively on day 3,5 and 7 after surgery,the NRS score of abdominal incisions of patients in the study group was significantly lower than that in the control group(t=9669,19230 and 13462,all P<0001).Respectively on day 1,3,5 and 7 after surgery,the swelling rate of abdominal incision of patients in the study group was remarkably lower compared with that in the control group(χ^(2)=4377,8898,9584 and 4860,P=0036,0003,0002 and 0027);and the disappear-ance times of red swelling and bleeding and incision healing time of patients were all obviously shorter in the study group(t=7887,4237 and 5104,all P<0001).On day 7 after surgery,26 patients achieved class-A healing and 10 patients achieved class-B healing of abdominal incisions in the study group,which was significantly better than that in the control group-15 patients class-A healing,18 patients class-B healing,and 2 patients class-C healing of abdominal incisions(Z=-2596,P=0009).Conclusion MEBO can effectively reduce the degree of pain of the abdominal incisions following myomectomy,alleviate swelling symptoms,shorten the incision healing time,and improve the incision healing quality.
作者
詹会娜
冯文龙
ZHAN Huina;FENG Wenlong(Department of Gynecology,Pingyu People’s Hospital,Zhumadian,Henan 463400,China;Department of Gynecology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)
出处
《中国烧伤创疡杂志》
2024年第1期20-23,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
