复春散Ⅰ号联合TDP照射预防女性肥胖患者妇科手术腹部切口愈合不良的疗效观察

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[摘要] 目的 探讨复春散Ⅰ号联合TDP照射预防肥胖患者腹部切口愈合不良的效果。 方法 选择到我院进行妇科择期腹部手术且体重指数≥25.0kg/m2的患者212例。随机分配到观察组54例，采用复春散Ⅰ号外敷切口联合TDP照射的方法；对照组A 53例，采用常规切口换药的方法；对照组B 52例，采用单独TDP照射的方法；对照组C 53例，采用单独复春散Ⅰ号外敷切口的方法。对治疗后疗效进行比较。 结果 四组治疗效果经统计学处理：（1） 观察组切口愈合明显优于对照组A、对照组B及对照组C，差异有统计学意义（P<0.05）。 （2） 观察组切口愈合时间明显短于对照组A、对照组B及对照组C，差异有统计学意义（P<0.05）。 结论 复春散Ⅰ号外敷联合TDP照射预防肥胖妇科患者腹部切口愈合不良效果良好，且能有效缩短切口愈合的时间。

[关键词] 复春散Ⅰ号；特定电磁波照射；肥胖；切口愈合

[中图分类号] R719.8 [文献标识码] A [文章编号] 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

腹部手术是目前妇科疾病的重要治疗手段，其术后的常见病症是切口愈合不良，发生率为5%～10%[1-2]。手术切口愈合不良的相关因素众多，包括术前、术中、术后等多方面原因[3-4]，相关研究表明患者腹部脂肪的厚度与伤口愈合密切相关[5]，肥胖患者较体重正常的患者更容易出现切口愈合不良，主要包括切口脂肪液化、切口裂开、切口感染等。因此，如何预防肥胖患者腹部手术切口愈合不良已成为现阶段临床研究的重点内容。中药制剂

复春散Ⅰ号因其具有抑菌、生肌、行气活血、止痛消肿、清热解毒、收敛止血、防腐等功效而被应用于帮助伤口愈合的治疗[6-7]，本院采用复春散Ⅰ号联合TDP照射预防肥胖患者腹部切口愈合不良，效果良好，现报道如下。

1 资料与方法

1.1 一般资料