刘瑞莲临沂高新技术产业开发区人民医院妇科，山东临沂　276017

妊娠合并糖尿病与非糖尿病产妇剖宫产手术后切口愈合情况观察

刘瑞莲
临沂高新技术产业开发区人民医院妇科，山东临沂276017

目的观察比较妊娠合并糖尿病与非糖尿病产妇剖宫产手术后切口愈合情况。方法将2013年1月—2016年3月该科行剖宫产的妊娠合并糖尿病产妇共98例作为观察组，并选取同期行剖宫产的非糖尿病产妇150例作为对照组，两组手术方式均为子宫下段切口剖宫产，切口为横切口，切口长约10～12 cm。观察两组产妇剖宫产术后切口愈合情况，具体切口愈合不良包括术后切口感染、裂开、脂肪液化等。结果观察组98例中切口感染6例、裂开2例、脂肪液化2例，切口愈合不良共10例，发生率为10.2%（10/98），对照组150例中切口感染1例、裂开0例、脂肪液化0例，切口愈合不良共1例，发生率为0.67%（1/150），观察组切口愈合不良发生率（10.2%）明显高于对照组（0.67%），P＜0.05。结论妊娠合并糖尿病会影响手术切口的愈合和增加感染的机会，医护人员应重视糖尿病剖宫产产妇术后切口的愈合情况，减少剖宫产术后切口愈合不良的发生。

妊娠；糖尿病；剖宫产；手术；切口愈合

［Abstract］Objective To observe and compare the wound healing after cesarean section in pregnancy with diabetes and non diabetes.Methods During January 2013 to March 2016，our department for cesarean section of pregnancy with maternal diabetes a total of 98 cases as the observation group，and select the same period by cesarean section of non-diabetic maternal 150 cases as control group，two groups of surgical procedures are uterine incision cesarean section，incision for transverse incision.The length of the incision approximately 10～12cm.Observation of two groups of maternal cesarean section incision healing，the specific wound healing of the incision infection，crack，fat liquefaction，etc.Results Observation of 98 cases incision infection in 6 cases，dehiscence in 2 cases，fat liquefaction in 2 cases，poor wound healing，a total of 10 cases，occurrence rate of 10.2%（10/98），the control group，150 cases of wound infection in 1 case，cracked cases，fat liquefaction cases，poor wound healing，a total of 1 cases，incidence rate of 0.67%（1/150）and observation group incision healing the incidence of adverse（10.2%）was significantly higher than that of the control group（0.67%），P＜0.05.Conclusion Pregnancy with diabetes will affect surgical incision healing and increase the chance of infection，doctors and nurses should attach importance to diabetes cesarean section parturients operation after the incision healing，reduce the cesarean section postoperative wound healing occurred in bad.

［Key words］Pregnancy；Diabetes mellitus；Cesarean section；Operation；Wound healing

剖宫产是产妇分娩的方式之一，与经阴顺产相比，剖宫产是一种有创伤性的操作，剖宫产切口愈合问题是术后关注的重点，切口愈合不良是剖宫产手术常见并发症之一，严重影响产妇的术后康复，延长病程，增加了产妇的痛苦，甚至会引发医疗纠纷。其发生、发展过程受包括生物性感染［1］、营养不良、慢性肺部疾患、肥胖和糖尿病，及使局部血液供应减少等多种内外因素的影响［2］。……