妇产科临床治疗中应用生物性可吸收缝线的探究

摘要

目的：探讨生物性可吸收缝线在妇产科治疗中的临床应用及其应用价值。方法：选取2012年2月-2013年2月在本院妇产科生产的96例产妇作为研究对象，按照随机数字表法将其分为观察组和对照组各48例，观察组应用生物性可吸收缝合线进行术后的连续缝合，对照组应用普通缝合方式进行术后的连续缝合，观察比较两组产妇手术时间、切口愈合状况、术后情况、住院天数、术后恶露持续时间及疼痛评分等指标。结果：观察组产妇的缝合线能够有效降解，观察组孕妇在出院前切口愈合率91.7%（44/48）明显高于对照组孕妇的77.1%（37/48），差异有统计学意义（P<0.05）。观察组未出现有拆线疼痛的孕妇，且均为轻度切口疼痛，对照组孕妇大多出现中到重度程度拆线疼痛，中度程度切口疼痛，观察组疼痛评分明显低于对照组，差异有统计学意义（P<0.05）。观察组在住院天数、手术时间、术后恶露持续时间等方面均明显少于对照组，差异均有统计学意义（P<0.05）。观察组的术后切口开裂率、切口感染率及脂肪液化率等方面均明显优于对照组，差异均有统计学意义（P<0.05）。结论：生物性可吸收缝合线能够在体外得到有效降解，在妇产临床治疗中效果良好，值得在妇产科临床手术中应用与推广。%Objective:To investigate the biological absorbable suture in obstetrics and gynecology treatment in clinical application and its application value.Method:Ninety-six maternal were selected as the research objects in our obstetrics and gynecology from February 2012 to February 2013,they were randomly divided into the observation group and the control group,48 cases in each group.The observation group was given biological absorbable sutures for postoperative continuous suture,the control group was given ordinary suture way for postoperative continuous suture.The operation time,healing of incision,postoperative condition,hospital stay,postoperative lochia duration and pain score index of the two groups were observed and compared.Result:The suture of observation group could effectively degrade,incision healing rate of the observation group before hospital discharge was 91.41%,it was significantly higher than 77.1%(37/48)of the control group,the difference was statistically significant(P<0.05).The observation group did not appear to have stitches pain of pregnant women,all of which were mild incision pain,pregnant women in the control group were mostly moderate to severe pain degree stitches,wound pain of moderate degree,pain score in the observation group were significantly lower than the control group,the difference was statistically significant(P<0.05).The days of hospitalization,operation time,postoperative duration of lochia of the observation group were less than in the control group,the differences were statistically significant(P<0.05).The rate of postoperative incision dehiscence,the rate of incision infection and fat liquefaction rate of the observation group were significantly better than the control group,the differences were statistically significant(P<0.05).Conclusion:Biological absorbable suture can be effectively degraded in vitro,in clinical treatment of Obstetrics and gynecology. The effect is good,worth in clinical obstetrics and gynecology operation in the application and popularization of.