中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
6期
934-935
,共2页
剖宫产术%腹部切口脂肪液化%原因和治疗效果%低蛋白血症
剖宮產術%腹部切口脂肪液化%原因和治療效果%低蛋白血癥
부궁산술%복부절구지방액화%원인화치료효과%저단백혈증
Cesarean section%The fat liquefaction of abdominal incision%Causes and therapeutic effect%hypoalbuminemia
目的：研究剖宫产术在治疗患者腹部切口脂肪液化问题中的最终临床效果。方法：以2011年1月~2012年10月入住我院,因实施剖宫产术后发生腹部切口脂肪液化的73例患者为研究对象,根据患者产生切口脂肪液化原因的不同和严重程度分为常规组和研究组两种。其中33例患者因切口损伤程度较为严重被归类入研究组,采取胰岛素和α-糜蛋白酶供给进行治疗,其余40例患者被归类入常规组,采取医院日常常规治疗。最后将两组患者的恢复状况和康复时间进行比对。结果：经过临床治疗和检查发现,73例患者中有24例因肥胖出现剖宫产术后的腹部脂肪液化,占总人数的33%；因糖尿病造成损伤的有9例,占总人数的12.3%；因贫血和低蛋白血症造成损伤的有15例,占总人数的20.5%；妊娠水肿造成脂肪组织细胞损伤形成病因的有8例,占总数的11%；术后切口消毒时处理不当造成损伤的有6例,占总数的8.2%；高频电刀高温烧伤脂肪组织产生损伤的有11例,占总数的15%。另外,研究组不论是在患者恢复情况还是康复时间上都优于常规组。结论：致使剖宫产术术后腹部切口脂肪液化产生的原因有许多种,最主要的因素在于糖尿病、肥胖以及贫血、低蛋白血症,在治疗方法上采用胰岛素和α-糜蛋白酶要比常规治疗效果显著,适合广泛使用。
目的：研究剖宮產術在治療患者腹部切口脂肪液化問題中的最終臨床效果。方法：以2011年1月~2012年10月入住我院,因實施剖宮產術後髮生腹部切口脂肪液化的73例患者為研究對象,根據患者產生切口脂肪液化原因的不同和嚴重程度分為常規組和研究組兩種。其中33例患者因切口損傷程度較為嚴重被歸類入研究組,採取胰島素和α-糜蛋白酶供給進行治療,其餘40例患者被歸類入常規組,採取醫院日常常規治療。最後將兩組患者的恢複狀況和康複時間進行比對。結果：經過臨床治療和檢查髮現,73例患者中有24例因肥胖齣現剖宮產術後的腹部脂肪液化,佔總人數的33%；因糖尿病造成損傷的有9例,佔總人數的12.3%；因貧血和低蛋白血癥造成損傷的有15例,佔總人數的20.5%；妊娠水腫造成脂肪組織細胞損傷形成病因的有8例,佔總數的11%；術後切口消毒時處理不噹造成損傷的有6例,佔總數的8.2%；高頻電刀高溫燒傷脂肪組織產生損傷的有11例,佔總數的15%。另外,研究組不論是在患者恢複情況還是康複時間上都優于常規組。結論：緻使剖宮產術術後腹部切口脂肪液化產生的原因有許多種,最主要的因素在于糖尿病、肥胖以及貧血、低蛋白血癥,在治療方法上採用胰島素和α-糜蛋白酶要比常規治療效果顯著,適閤廣汎使用。
목적：연구부궁산술재치료환자복부절구지방액화문제중적최종림상효과。방법：이2011년1월~2012년10월입주아원,인실시부궁산술후발생복부절구지방액화적73례환자위연구대상,근거환자산생절구지방액화원인적불동화엄중정도분위상규조화연구조량충。기중33례환자인절구손상정도교위엄중피귀류입연구조,채취이도소화α-미단백매공급진행치료,기여40례환자피귀류입상규조,채취의원일상상규치료。최후장량조환자적회복상황화강복시간진행비대。결과：경과림상치료화검사발현,73례환자중유24례인비반출현부궁산술후적복부지방액화,점총인수적33%；인당뇨병조성손상적유9례,점총인수적12.3%；인빈혈화저단백혈증조성손상적유15례,점총인수적20.5%；임신수종조성지방조직세포손상형성병인적유8례,점총수적11%；술후절구소독시처리불당조성손상적유6례,점총수적8.2%；고빈전도고온소상지방조직산생손상적유11례,점총수적15%。령외,연구조불론시재환자회복정황환시강복시간상도우우상규조。결론：치사부궁산술술후복부절구지방액화산생적원인유허다충,최주요적인소재우당뇨병、비반이급빈혈、저단백혈증,재치료방법상채용이도소화α-미단백매요비상규치료효과현저,괄합엄범사용。
The cesarean section in the treatment of patients with abdominal fat liquefaction of incision problems of clinical effect in the end.Methods:In January 2011-in October 2012,our hospital,because of the implementation of fat liquefaction of abdominal incision cesarean section 73 patients as the research object,according to cause fat liquefaction of incision in patients with different severity and divided into normal group and team.33 cases due to the damage degree of incision in patients with serious are classified into the team and take insulin and supply of alpha chymotrypsin treatment,40 patients were classified into the normal group,the rest to the hospital routine treatment.Finally the two groups of patients' recovery and rehabilitation time.Results:After clinical treatment and examination found that 73 cases of patients with cesarean section have 24 cases because of obesity in the abdomen fat liquefaction,accounted for 33%of the total;Damage caused by diabetes there is 9 cases,accounted for 12.3%of the total;Damage caused by anemia and hypoalbuminemia in 15 cases,accounting for 20.5%of the total;Pregnancy edema caused by fat tissue in 8 cases of damage formation cause,11%of the total;Postoperative incision disinfection when injuries are caused by the improper handling,6 cases,8.2%of the total;High frequency electrotome high temperature burns fat tissue injury in 11 cases,15%of the total.In addition,the team both on patients' recovery and rehabilitation group is superior to the conventional time.Conclusion:Due to cesarean section the causes of postoperative abdominal fat liquefaction of incision has many kinds,the main factor is the diabetes,obesity,anemia and hypoalbuminemia,in treatment method on the insulin and alpha-chymotrypsin was better than conventional treatment effect significantly,suitable for widespread use.
