透明质酸钠在剖宫产患者术后盆腔粘连防控中的作用及对相关血液指标的影响观察

发布时间：2018-07-20 11:10

【摘要】：目的:探究与分析透明质酸钠在剖宫产患者术后盆腔粘连防控中的作用及对相关血液指标的影响观察。方法:选取2014年4月至2016年4月收治的120例剖宫产术妇女,随机分为对照组与观察组,每组各60例,对照组给予常规抗生素+益母草颗粒剂治疗,观察组给予透明质酸钠治疗,对比两组术后盆腔粘连程度、阴道流血及月经恢复情况、子宫内膜厚度、血清指标变化。结果:观察组较对照组相比术后盆腔粘连发生率较低,差异具有统计学意义(P0.05)。观察组较对照组相比术后阴道流血时间缩短,术后阴道流血量减少,首次月经恢复时间缩短,月经减少率较低,周期性腹痛发生率较低,子宫内膜厚度较厚,差异具有统计学意义(P0.05)。两组妇女术后较术前相比纤维蛋白连接素、全血黏度、红细胞聚集指数、血细胞比容、血沉方程K值均升高,但观察组较对照组相比上述指标较低,差异具有统计学意义(P0.05)。结论:采用透明质酸钠预防剖宫产妇女术后盆腔粘连的作用显著,可有效改善血液相关指标。
[Abstract]:Objective: to investigate and analyze the role of sodium hyaluronate in the prevention and control of pelvic adhesion after cesarean section. Methods: 120 women undergoing cesarean section from April 2014 to April 2016 were randomly divided into two groups: control group (n = 60) and observation group (n = 60). The control group was treated with routine antibiotic Leonurus granules, and the observation group was treated with sodium hyaluronate. The degree of pelvic adhesion, vaginal bleeding and menstrual recovery, endometrial thickness and serum indexes were compared between the two groups. Results: the incidence of pelvic adhesions in the observation group was lower than that in the control group (P0.05). Compared with the control group, the observation group had shorter vaginal bleeding time, less postoperative vaginal bleeding, shorter first menstrual recovery time, lower menstrual loss rate, lower incidence of periodic abdominal pain and thicker endometrial thickness. The difference was statistically significant (P0.05). Compared with those before operation, fibrinectin, whole blood viscosity, erythrocyte aggregation index, hematocrit and erythrocyte sedimentation rate (ESR) of the two groups were higher than those before operation, but the observed group was lower than that of the control group, the difference was statistically significant (P0.05). Conclusion: sodium hyaluronate is effective in preventing pelvic adhesion after cesarean section.
【作者单位】：广东省深圳市龙岗中心医院手术室;
【基金】：吴阶平医学基金会临床科研专项资助基金,(编号:2011-427-2079)
【分类号】：R719.8

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