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湿润烧伤膏治疗产科术后切口疗效分析
Clinical Efficacy of MEBO in the Treatment of Postoperative Incisions in Obstetrics

田冬洁,蒋素玲,刘芳,荆瑞霞,丁金萍.湿润烧伤膏治疗产科术后切口疗效分析[J].中国烧伤创疡杂志,2025,(3):226~229.

DOI：

英文关键词:Moist exposed burn ointment Obstetrics Cesarean section Episiotomy Incision Pain Infection Fat liquefaction

基金项目:

作者	单位
田冬洁	450015 河南郑州, 郑州市第二人民医院产科
蒋素玲
刘芳
荆瑞霞
丁金萍

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中文摘要:

【摘要】目的分析湿润烧伤膏治疗产科术后切口的临床疗效。方法选取 2022 年 4 月至 2024 年 4 月于郑州市第二人民医院进行辅助分娩的 260 例产妇作为研究对象, 按照产后手术切口不同换药方法将其分为观察组(130 例) 与对照组 (130 例), 观察组研究对象术后切口应用湿润烧伤膏治疗, 对照组研究对象术后切口应用碘伏治疗, 比较两组研究对象术后切口疼痛程度、愈合质量、感染及脂肪液化等不良事件发生情况。结果术后12、24、36、48、72 h, 观察组研究对象术后切口疼痛程度轻于对照组 ( t = 6.316、9.014、7.338、8.359、5.639, P 均<0.001); 观察组研究对象术后切口愈合质量明显优于对照组 (Z= -2.021, P= 0.043)、不良事件发生率明显低于对照组 (χ 2 = 4.599, P= 0.032)。结论应用湿润烧伤膏处理剖宫产及会阴侧切术后切口, 可降低切口疼痛程度, 提高切口愈合质量, 减少切口愈合不良事件的发生。

英文摘要:

【Abstract】 Objective To analyze the clinical efficacy of MEBO in the treatment of postoperative incisions in obstetrics. Methods A total of 260 patients who underwent assisted delivery at Zhengzhou Second People’s Hospital from April 2022 to April 2024 were enrolled as research subjects and divided into the study group (n = 130) and the control group (n = 130) based on different postoperative incision dressing methods. The postoperative incisions of patients were treated with MEBO in the study group, while the control group patients were treated with povidone?iodine. Postoperative incision pain degree, healing quality, and occurrence of adverse reactions, including infection and fat liquefaction, were compared between the two groups. Results At postoperative 12 h, 24 h, 36 h, 48 h, 72 h, the incision pain degree of patients in the study group was significantly milder than that in the control group ( t = 6.316, 9.014, 7.338, 8.359 and 5.639, all P< 0.001). The healing quality of postoperative incisions in the study group was significantly better than the control group (Z= -2.021, P= 0.043). The incidence of adverse events in the study group was significantly lower than that in the control group (χ 2 = 4.599, P = 0.032). Conclusion The application of MEBO in treating postoperative incisions after cesarean section and lateral episiotomy can reduce pain degree, improve incision healing quality, and reduce the occurrence of poor incision healing events.