中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
19期
76-78,79
,共4页
几丁糖凝胶%剖宫产术%盆腔粘连
幾丁糖凝膠%剖宮產術%盆腔粘連
궤정당응효%부궁산술%분강점련
Chitosan gel%Cesarean section%Pelvic adhesions
目的：探讨并分析医用几丁糖凝胶对剖宫产术后盆腔粘连的预防效果。方法：将本院2013年1月-2014年1月收治的85例剖宫产妇按随机数字表法分为对照组及治疗组，其中对照组40例，治疗组45例，治疗组患者在术中腹膜缝合前将2 mL的几丁糖涂抹于患者子宫切口表面等部位，而对照组患者使用2 mL生理盐水涂抹于相同位置，其余手术操作均相同，观察并比较两组的临床效果。结果：治疗组的总有效率为95.56%，显著高于对照组的70.00%，比较差异有统计学意义（P<0.05）；治疗组产妇二次剖宫产术中粘连发生率为8.89%，显著低于对照组发生率37.50%，组间比较差异有统计学意义（P<0.05）。结论：医用几丁糖凝胶对剖宫产术后盆腔粘连具有较好的临床效果，是一种值得推广使用的新型生物材料。
目的：探討併分析醫用幾丁糖凝膠對剖宮產術後盆腔粘連的預防效果。方法：將本院2013年1月-2014年1月收治的85例剖宮產婦按隨機數字錶法分為對照組及治療組，其中對照組40例，治療組45例，治療組患者在術中腹膜縫閤前將2 mL的幾丁糖塗抹于患者子宮切口錶麵等部位，而對照組患者使用2 mL生理鹽水塗抹于相同位置，其餘手術操作均相同，觀察併比較兩組的臨床效果。結果：治療組的總有效率為95.56%，顯著高于對照組的70.00%，比較差異有統計學意義（P<0.05）；治療組產婦二次剖宮產術中粘連髮生率為8.89%，顯著低于對照組髮生率37.50%，組間比較差異有統計學意義（P<0.05）。結論：醫用幾丁糖凝膠對剖宮產術後盆腔粘連具有較好的臨床效果，是一種值得推廣使用的新型生物材料。
목적：탐토병분석의용궤정당응효대부궁산술후분강점련적예방효과。방법：장본원2013년1월-2014년1월수치적85례부궁산부안수궤수자표법분위대조조급치료조，기중대조조40례，치료조45례，치료조환자재술중복막봉합전장2 mL적궤정당도말우환자자궁절구표면등부위，이대조조환자사용2 mL생리염수도말우상동위치，기여수술조작균상동，관찰병비교량조적림상효과。결과：치료조적총유효솔위95.56%，현저고우대조조적70.00%，비교차이유통계학의의（P<0.05）；치료조산부이차부궁산술중점련발생솔위8.89%，현저저우대조조발생솔37.50%，조간비교차이유통계학의의（P<0.05）。결론：의용궤정당응효대부궁산술후분강점련구유교호적림상효과，시일충치득추엄사용적신형생물재료。
Objective: To explore the effect of chitosan gel in prevention of pelvic adhesions after cesarean.Method: 85 cesarean patients were selected from our hospital during January 2013 and January 2014, and then the 85 cases were randomly divided into two group, one was control group (40 cases), the other one was treatment group (45 cases). Before peritoneal suture, the treatment group was daubed chitosan gel on the surface of uterine incision and some other place, while the control group was daubed 2 mL of saline on the same position. In other operation, there were no difference between the two groups. And to compare treatment effect of the two groups.Result: The effective rate of the treatment group was 95.96%, which was higher than that of the control group 70.00%, the difference was significant (P<0.05). The pelvic adhesions incidence of treatment group was 8.89%, which was lower than that of the control group (37.50%), and the difference was significant(P<0.05).Conclusion: The effect of chitosan gel in prevention of pelvic adhesions after cesarean is very good, so chitosan gel is value to be used in clinic as a new biological material.
