无针缝合器闭合剖宫产术切口临床研究

摘要

目的：研究无针缝合器闭合剖宫产术切口的效果。方法将300例剖宫产手术（新式子宫下段剖宫产术）随机分成两组，实验组及对照组各150例。实验组采用无针缝合器闭合手术切口皮肤，对照组采用传统针线缝合切口皮肤；两组术前准备、术后护理及麻醉方式基本相同，比较两组缝合切口皮肤时间、皮肤伤口单位瘢痕长度、住院天数、切口一期愈合例数及不良反应。结果无针缝合器缝合切口皮肤时间（2.71±0.96）s、住院天数（5.06±0.31）d、伤口瘢痕宽度（0.21±0.13）cm明显低于传统针线缝合切口皮肤时间（5.87±1.62）s、住院天数（6.12±1.84）d、伤口瘢痕宽度（5.56±2.32）cm（P<0.05）。两组伤口一期愈合率均为99.33%。实验组患者术后第1天切口出现瘙痒1例，占0.7%，对照组出现瘙痒3例，占2.0%，两组差异无统计学意义（P>0.05）；术后第3天仅对照组出现瘙痒1例。结论与传统方式缝合伤口皮肤相比，无针缝合器能缩短缝合切口皮肤时间；明显减少皮肤伤口瘢痕宽度；不影响切口一期愈合且不良反应少。%Objective To study the clinical offect of without needle stitch closure in gynaecology cesarean section in-cision. Methods A total of 300 cases of cesarean section surgery (new lower uterine segment cesarean section) were randomly divided into, experimental group and the control group with 150 cases in each. Experimental group were giv-en needle suture closed incision of skin and the control group were given traditional needle suture skin incision. The time skin, the skin suture incision scar wound unit length, hospitalization days, primary healing of incision, increase of the number of cases and adverse reactions were compared. Results Needle without stitch machine skin incision was (2.71±0.96) seconds, hospitalization days was (5.06±0.31) days, the wound of scar width was (0.21±0.13) cm, which were significantly lower than that in the traditional needle stitch suture incision skin (5.87 ±1.62) seconds, hospitaliza-tion days (6.12±1.84) days, the wound of scar width (5.56±2.32) cm. The differences between the two groups were sta-tistically significant (P < 0.05). Two groups of wound were primary healing rate was 99.33%.Experimental group pa-tients postoperative day 1 incision, 1 case of itching, accounted for 0.7%, control group itching 3 cases, accounted 2.0%, compared two groups had no difference(P>0.05);only 3 days postoperatively itchy in 1 case. Conclusion Com-pared accounte dwith the traditional way, needle without stitch machine can shorten the skin incision, and significantly reduce the skin wound scar width. Which does not affect the primary healing of incision and less adverse reaction.