短波紫外線照射治療對剖宮產(chǎn)術(shù)后切口愈合的影響

解玉艷　馬燕霞　宋娟　李雪雪　許圣菊

[關(guān)鍵詞] 短波紫外線;剖宮產(chǎn);產(chǎn)婦;切口愈合

[中圖分類號] R719.8? ? ? ? ? [文獻(xiàn)標(biāo)識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）22-0176-04

Effect of short wave ultraviolet irradiation on incision healing after cesarean section

XIE Yuyan1? ?MA Yanxia1? ?SONG Juan1? ?LI Xuexue2? ?XU Shengju1

1.Department of Obstetrics，the Second Affiliated Hospital of Shandong First Medical University，Tai′an? ?271000，China; 2.School of Nursing，Shandong First Medical University，Tai′an? ?271000，China

[Abstract] Objective To evaluate the application effect of short-wave ultraviolet irradiation in incision healing after cesarean section. Methods One hundred and thirty puerperas with cesarean section admitted in our department between May 2019 and January 2020 were selected.They were randomly divided into the control group and the observation group. The control group （60 cases） received routine nursing according to obstetric care after cesarean section. The observation group （70 cases） received short wave ultraviolet irradiation 24 h after cesarean section surgery， based on obstetric care routine，once per day，for 3-day continuous treatment. The incision healing and the drying time between the two groups were compared. Results The incision healing degree of the observation group on day 2，3，and 4 after the operation was significantly higher than that of the control group （P<0.05）， and the incision drying time of the observation group was shorter than that of the control group （t=8.095， P<0.05）. Conclusion Short wave ultraviolet radiation can promote the healing of incision after cesarean section， reduce the infection，and achieve rapid recovery.

[Key words] Short wave ultraviolet; Cesarean section; Puerpera; Incision healing

全球分娩方式中，剖宮產(chǎn)率約為20%[1]，而我國部分地區(qū)剖宮產(chǎn)率高達(dá)57.84%，其中無醫(yī)學(xué)指征者36.23%[2]。進(jìn)行剖宮產(chǎn)手術(shù)屬于有創(chuàng)的分娩方式，會導(dǎo)致產(chǎn)婦出現(xiàn)術(shù)后子宮復(fù)舊不良、產(chǎn)后出血、產(chǎn)后子宮切口愈合不良等并發(fā)癥，其中以子宮切口愈合不良最為嚴(yán)重，可導(dǎo)致術(shù)后感染，產(chǎn)后大出血等嚴(yán)重危害患者生命的不良后果[3]。馮秀清[4]的研究表明，妊娠并發(fā)癥、產(chǎn)程延長、胎膜早破、夏季手術(shù)等因素均會導(dǎo)致剖宮產(chǎn)術(shù)后切口出現(xiàn)愈合不良現(xiàn)象。近年來，廣大醫(yī)務(wù)人員愈來愈關(guān)注促進(jìn)切口愈合的問題。短波紫外線治療儀具有殺菌、消炎、鎮(zhèn)痛、促進(jìn)組織再生和加速傷口愈合的作用，研究發(fā)現(xiàn)[5]，280 nm紫外線可以形成有效的殺菌效果，并且對于一些創(chuàng)面的炎癥亦具有良好作用。因此本文通過研究短波紫外線治療對剖宮產(chǎn)產(chǎn)婦切口愈合的影響，旨在為促進(jìn)剖宮產(chǎn)產(chǎn)婦切口愈合提供有效手段，現(xiàn)報道如下。

1 對象與方法

1.1 研究對象

選擇2019年5月至2020年1月期間于山東第一醫(yī)科大學(xué)第二附屬醫(yī)院產(chǎn)二科剖宮產(chǎn)住院患者130例納入研究。將其隨機(jī)分為試驗組70例，對照組60例。納入標(biāo)準(zhǔn)：所有納入人員均自愿配合此項研究;精神狀態(tài)好且依從性強(qiáng)者;產(chǎn)婦年齡25～35歲;體重60～80 kg者;孕齡37～42周;新生兒體重2500～4000 g;無妊娠期合并癥或產(chǎn)后并發(fā)癥者;剖宮產(chǎn)指征為瘢痕子宮者;切口均為水平褥式縫合者;產(chǎn)婦130例均為剖宮產(chǎn)，均為單胎、頭位枕先露，胎兒情況良好，無頭盆不稱;本研究經(jīng)醫(yī)院醫(yī)學(xué)倫理委員會審核批準(zhǔn)。兩組產(chǎn)婦在年齡，體重，孕周，新生兒性別及新生兒出生體重等一般資料比較，均無統(tǒng)計學(xué)意義（P>0.05），具有可比性。見表1。