剖腹产后切口愈合不良的原因及预防策略

Lingyan Zhang, Kai'e Zhe
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引用次数: 0

摘要

本研究旨在探讨剖宫产术后子宫切口愈合不良的原因及防治对策。通过回顾性分析我院2021年1月至2023年1月期间新行剖宫产术的800例患者的临床资料,为提高子宫切口愈合质量提供参考。方法:回顾性分析800例剖宫产术后子宫切口愈合不良患者的临床资料,总结相关影响因素及预防方法。结果:影响新型剖宫产术后子宫切口愈合的因素包括年龄、体重指数、妊娠和分娩、手术时间、术中出血、术后感染和营养状况。治疗方法包括加强术后营养、预防感染和定期换药。大多数患者的伤口愈合良好,两个月的随访未见异常。结论新式剖宫产术后子宫切口愈合不良与多种因素有关,但可以通过术前准备和术后护理降低发生率。对于已经发生的愈合不良,及时采取正确的治疗措施有助于促进切口愈合,减少并发症。应重视相关因素,采取预防和治疗措施,提高愈合质量。同时,加强医护人员的培训和患者的康复锻炼也至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causes of Poor Incision Healing after Caesarean Section and Strategies to Prevent it
This study aims to investigate the causes of poor healing of uterine incision after caesarean section and the prevention and treatment strategies. By retrospectively analysing the clinical data of 800 patients who underwent new cesarean section between January 2021 and January 2023 in our hospital, it provides reference for improving the quality of healing. Methods: The clinical data of 800 patients with poor healing of uterine incision after cesarean section were retrospectively analysed, and the relevant influencing factors and prevention methods were summarised. Results:Factors affecting the healing of uterine incision after new type of cesarean section included age, body mass index, pregnancy and delivery, operation time, intraoperative bleeding, postoperative infection and nutritional status. Treatment included strengthening postoperative nutrition, preventing infection, and regular dressing changes. Most of the patients achieved good healing and no abnormality was seen at 2-month follow-up. Conclusion: Poor healing of uterine incision after new-style cesarean section is related to many factors, but the incidence can be reduced by preoperative preparation and postoperative care. For the poor healing that has occurred, timely and correct treatment measures can help promote incision healing and reduce complications. Attention should be paid to related factors and preventive and therapeutic measures should be taken to improve the quality of healing. It is also crucial to strengthen the training of healthcare professionals and rehabilitation exercises for patients.
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