曠雙紅??何玉珍??戴月嫦??鄒果芳??宋清源??凌雪梅??程耘

[摘要] 目的 探討復(fù)春散Ⅰ號(hào)聯(lián)合TDP照射預(yù)防肥胖患者腹部切口愈合不良的效果。 方法 選擇到我院進(jìn)行婦科擇期腹部手術(shù)且體重指數(shù)≥25.0kg/m2的患者212例。隨機(jī)分配到觀察組54例，采用復(fù)春散Ⅰ號(hào)外敷切口聯(lián)合TDP照射的方法；對(duì)照組A 53例，采用常規(guī)切口換藥的方法；對(duì)照組B 52例，采用單獨(dú)TDP照射的方法；對(duì)照組C 53例，采用單獨(dú)復(fù)春散Ⅰ號(hào)外敷切口的方法。對(duì)治療后療效進(jìn)行比較。 結(jié)果 四組治療效果經(jīng)統(tǒng)計(jì)學(xué)處理：（1） 觀察組切口愈合明顯優(yōu)于對(duì)照組A、對(duì)照組B及對(duì)照組C，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 （2） 觀察組切口愈合時(shí)間明顯短于對(duì)照組A、對(duì)照組B及對(duì)照組C，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 復(fù)春散Ⅰ號(hào)外敷聯(lián)合TDP照射預(yù)防肥胖婦科患者腹部切口愈合不良效果良好，且能有效縮短切口愈合的時(shí)間。

[關(guān)鍵詞] 復(fù)春散Ⅰ號(hào)；特定電磁波照射；肥胖；切口愈合

[中圖分類號(hào)] R719.8 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 2095-0616（2015）14-07-04

Clinical effective observation of fuchunsan I combined with TDP irradiation on preventing abdominal incision healing following operation in obese female patients

KUANG Shuanghong HE Yuzhen DAI Yuechang ZOU Guofang SONG Qingyuan LING Xuemei CHENG Yun

Department of Obstetrics and Gynaecology， the Yuebei People's Hospital of Shaoguan， Guandong， Shaoguan 512026， China

[Abstract] Objective To explore the clinical effect of FuchunsanⅠcombined with TDP irradiation on preventing abdominal incision healing following operation in obese female patients. Methods 212 patients with body mass index≥25.0 kg/m2 that were taken for elective abdominal surgery in department of gynaecology of our hospital were collected. They were divided into four groups randomly， 54 cases in observation grouptreated with FuchunsanⅠcombined TDP irradiation method， 53 cases in the control group A treated with a traditional method， 52 cases in the control group B treated with the method of TDP irradiation alone， and 53 cases in the control group C treated with FuchunsanⅠalone. The curative effect after treatment were compared. Results （1） The incision healing of observation group was obviously better than the control groupA， group B and group C（P<0.05）. （2） The incision healing time of the observation group was significant shorter than the control groupA， group B and group C（P<0.05）. Conclusion The use of FuchunsanⅠcombined with TDP irradiation on abdominal incision healing had a favourable effect in obese female patients， which can effectively shorten the time of the incision healing.

[Key words] FuchunsanⅠ； TDP irradiation； Obese； Incision healing

腹部手術(shù)是目前婦科疾病的重要治療手段，其術(shù)后的常見病癥是切口愈合不良，發(fā)生率為5%～10%[1-2]。手術(shù)切口愈合不良的相關(guān)因素眾多，包括術(shù)前、術(shù)中、術(shù)后等多方面原因[3-4]，相關(guān)研究表明患者腹部脂肪的厚度與傷口愈合密切相關(guān)[5]，肥胖患者較體重正常的患者更容易出現(xiàn)切口愈合不良，主要包括切口脂肪液化、切口裂開、切口感染等。因此，如何預(yù)防肥胖患者腹部手術(shù)切口愈合不良已成為現(xiàn)階段臨床研究的重點(diǎn)內(nèi)容。中藥制劑

復(fù)春散Ⅰ號(hào)因其具有抑菌、生肌、行氣活血、止痛消腫、清熱解毒、收斂止血、防腐等功效而被應(yīng)用于幫助傷口愈合的治療[6-7]，本院采用復(fù)春散Ⅰ號(hào)聯(lián)合TDP照射預(yù)防肥胖患者腹部切口愈合不良，效果良好，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料