中药大黄芒硝外敷治疗剖宫产术后腹部切口患者临床研究
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Clinical Study on External Application with Rhei Radix et Rhizoma and Natrii Sulfas Exsiccattus for Abdominal Incision Healing After Cesarean Section
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    摘要:

    目的:观察中药大黄芒硝外敷治疗剖宫产术后腹部切口患者的临床疗效。方法:选取2022年1月— 2023年12月于海盐县妇幼保健院妇产科行剖宫产术的96例产妇为研究对象,按照随机数字表法分为对照组和 观察组各48例,对照组术后采用常规换药治疗,观察组在对照组基础上联合中药大黄芒硝外敷治疗。比较 2组临床疗效、伤口愈合情况、切口改善情况(硬结、红肿消退时间) 及不良反应,比较2组治疗前后疼痛程 度视觉模拟评分法(VAS) 评分及创面状态温哥华瘢痕评估量表(VSS) 评分。结果:治疗后,观察组临床总 有效率93.75%(45/48),高于对照组77.08%(37/48)(P<0.05)。观察组创面愈合优良率72.92%(35/48),高 于对照组52.08% (25/48)(P<0.05)。观察组创面愈合率高于对照组,硬结、泛红消退时间均短于对照 组(P<0.05)。术后5、7、10天时,观察组VAS评分均低于对照组(P<0.05);术后10天及术后1个月时, 观察组VSS评分均低于对照组(P<0.05)。观察组治疗期间脂肪液化、切口开裂、血肿、感染等不良反应发生 率均低于对照组(P<0.05)。结论:中药大黄芒硝外敷应用于剖宫产术后腹部切口,可有效促进硬结、泛红症 状消退,缓解疼痛程度,有助于切口愈合,改善创面瘢痕状态及不良反应发生率,疗效确切。

    Abstract:

    Abstract:Objective:To observe the clinical effect of external application with Rhei Radix et Rhizoma and Natrii Sulfas Exsiccatus on abdominal incision healing after cesarean section. Methods:A total of 96 parturients undergoing cesarean section were selected as the study subjects and divided into the control group and the observation group according to the random number table method,with 48 cases in each group. The control group was treated with routine dressing change after surgery, and the observation group was treated with external application with Rhei Radix et Rhizoma and Natrii Sulfas Exsiccatus based on the treatment of the control group. The clinical effects, occlusion of wounds, improvement of incision (regression time of induration, and redness and swelling) and adverse reactions, and the scores of Visual Analogue Scale( VAS) of pain and Vancouver Scar Scale( VSS) of surface of wounds before and after treatment were compared between the two groups. Results:After treatment,the total clinical effective rate was 93.75% (45/48) in the observation group, higher than that of 77.08% (37/48) in the control group (P<0.05). The excellent rate of occlusion of wounds was 72.92%( 35/48) in the observation group,higher than that of 52.08%( 25/48) in the control group( P<0.05). The occlusion rate of wounds in the observation group was higher than that in the control group,and the regression time of induration and redness was shorter than that in the control group (P<0.05). Five, seven and ten days after surgery, the VAS scores in the observation group were lower than those in the control group respectively( P<0.05);ten days and one month after surgery,the VSS score in the observation group was respectively lower than that in the control group (P<0.05). The incidence of adverse reactions such as fat liquefaction, cracking incision, hematoma and infection in the observation group was lower than that in the control group (P<0.05). Conclusion: The external application of Rhei Radix et Rhizoma and Natrii Sulfas Exsiccatus has a definite curative effect on abdominal incision healing after cesarean section, which can effectively promote the disappearance of induration and redness,relieve the pain,help occlusion of incision,improve the scars on the surface of wound and the incidence of adverse reactions.

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姚培丽.中药大黄芒硝外敷治疗剖宫产术后腹部切口患者临床研究[J].新中医,2025,57(9):78-82

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  • 在线发布日期: 2025-05-12
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