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醫(yī)學(xué)論文范文:新式剖宮產(chǎn)改良法在臨床中的應(yīng)用研究
【摘要】 目的 探討新式剖宮產(chǎn)改良法在臨床中的應(yīng)用價(jià)值。方法 分析對(duì)比兩種手術(shù)方式在切口、手術(shù)時(shí)間、出血量以及術(shù)后并發(fā)癥等情況的比較。結(jié)果 新式剖宮產(chǎn)法(A組)手術(shù)時(shí)間為(17.8～45.2)min，新式剖宮產(chǎn)改良法(B組)手術(shù)時(shí)間為(12.4～30.6)min;出血量A組約為(150～350)ml，B組約為(50～150)ml;術(shù)后腸粘連 A組(80.4～95.7)%，B組(10.2～23.5)%，羊水栓塞 A組(0.1～0.2)%，B組(0.02～0.05)%。通過以上兩種手術(shù)方法比較差異有顯著性。結(jié)論 新式剖宮產(chǎn)改良法符合人體的解剖及生理特點(diǎn)。不但進(jìn)一步縮短了手術(shù)時(shí)間，而且具有組織損傷小、出血少、術(shù)后疼痛輕、粘連輕、并發(fā)癥少、恢復(fù)快等優(yōu)點(diǎn)
【關(guān)鍵詞】 新式剖宮產(chǎn);改良法;臨床; 應(yīng)用
New style splits the palace to produce the improvement law in the clinical applied research
REN Yong，ZHANG Xinxian，ZHAO Xin，et al.Cangshan County Bianzhuang Hospital，Shandong 277700,China
[Abstract] Objective The goal discussion new style splits the palace to produce the improvement law in the clinical application value.Methods The method analysis contrasts two surgery ways after the margin,the surgery time,the hemorrhage quantity as well as the technique situation and so on complication comparisons.Finally.Results New style splits the palace to produce the law (A group) the surgery time is (17.8～45.2)min,new style splits the palace to produce the improvement law (B group) the surgery time is (12.4～30.6)min After the hemorrhage measures A group is approximately the (150～350)ml B group is approximately the (50～150)ml technique the intestinal adhesion A group of (80.4～95.7)% B group of (10.2～23.5)% amniotic fluid embolism A groups of (0.1～0.2)% B group (0.02～0.05)% is remarkable through above two kind of surgery method comparison difference.Conclusion The conclusion new style splits the palace to produce the improvement law to conform to the human anatomy and the physiological characteristic.Not only further reduced the surgery time,after moreover has the organization to damage slightly,bleeds,the technique few the ache light,the adhesion light,the complication few,restores and so on the merits quickly.
[Key word] new style splits the palace to produce;improvement law;clinical;using
新式剖宮產(chǎn)法是以色列醫(yī)生M.stark改進(jìn)的子宮下段剖宮產(chǎn)術(shù)。采用JoelCohen橫切口而成為新式剖宮產(chǎn)術(shù)。其特點(diǎn)是：開腹時(shí)對(duì)皮下脂肪采取撕拉的方法。使行走在其中的血管和神經(jīng)，借助于本身的彈性完整的保留下來，減少了出血。連續(xù)縫合子宮切口，不縫合腹膜、膀胱反折腹膜，關(guān)腹時(shí)皮下脂肪及皮膚全層縫合[1～3]。筆者在基層醫(yī)院從2004年1月-2008年12月共收治足月妊娠難產(chǎn)行剖宮產(chǎn)術(shù)2340例，1980例采用新式剖宮產(chǎn)改良法，通過以上病人術(shù)中、術(shù)后以及再次手術(shù)后病人的臨床觀察。其手術(shù)方式進(jìn)一步完善了M.stark醫(yī)生的新式剖宮產(chǎn)術(shù)，取得了滿意的效果�，F(xiàn)將情況報(bào)道如下醫(yī)學(xué)全.在線zxtf.net.cn。
1 資料與方法
1.1 一般資料 我院于2004年1月-2008年12月共收治足月妊娠難產(chǎn)行剖宮產(chǎn)術(shù)2340例，1980例采用新式剖宮產(chǎn)改良法，360例采用新式剖宮產(chǎn)法。2340例孕婦平均年齡為27歲(20～41歲)，孕周平均為40周(37～42周)，新式剖宮產(chǎn)術(shù)360例為A組，改良法1980例為B組，兩組病例選樣按隨機(jī)分組的原則，病人年齡、身高、體重經(jīng)統(tǒng)計(jì)學(xué)檢驗(yàn)差異無顯著性。兩組在手術(shù)適應(yīng)證及麻醉方法上差異亦無顯著性。
1.2 方法
