剖宫产术中关闭与不关闭脏腹膜和壁腹膜的短期影响：一项前瞻性随机研究。
Short-term effects of closure versus non-closure of the visceral and parietal peritoneum at cesarean section: a prospective randomized study.
作者信息
Anteby Eyal Y, Kruchkovich Jenya, Kapustian Viki, Gdalevich Michael, Shenhav Simon, Gemer Ofer
机构信息
Departments of Obstetrics and Gynecology, Barzilai Medical Center, The Faculty of Health Sciences, Ben Gurion University of the Negev, Ashkelon, Israel.
出版信息
J Obstet Gynaecol Res. 2009 Dec;35(6):1026-30. doi: 10.1111/j.1447-0756.2009.01062.x.
AIM
To determine the effect of non-closure of the visceral and parietal peritoneum during cesarean section on short-term postoperative morbidity.
METHODS
A prospective randomized trial was conducted of 533 women undergoing primary cesarean section; 277 were randomized to closure and 256 to non-closure of the peritoneum. Perioperative outcome measures, such as analgesia dosage and morbidly measures were compared.
RESULTS
There was no significant difference between the non-closure and closure groups in the mean number of narcotic analgesia doses (1.09 +/- 1.2 vs 1.05 +/- 1.0, P = 0.63; respectively), mean number of non-narcotic analgesia doses (4.69 +/- 2.7 vs 4.65 +/- 2.8, P = 0.89; respectively), number of women with postoperative fever >38 degrees C (18 vs 14, P = 0.37; respectively), number of women with wound infection (29 vs 35, P = 0.54; respectively) and mean number of hospitalization days (4.16 +/- 0.91 vs 4.14 +/- 0.71, P = 0.78; respectively).
CONCLUSION
Closure or non-closure of the peritoneum at cesarean sections has no significant impact on postoperative analgesic usage and short-term morbidity.
目的
确定剖宫产术中不缝合脏腹膜和壁腹膜对术后短期发病率的影响。
方法
对533例行初次剖宫产的妇女进行了一项前瞻性随机试验；277例被随机分配至缝合组，256例被随机分配至不缝合组。比较围手术期结局指标，如镇痛剂量和发病率指标。
结果
不缝合组和缝合组在麻醉性镇痛剂平均剂量（分别为1.09±1.2和1.05±1.0，P=0.63）、非麻醉性镇痛剂平均剂量（分别为4.69±2.7和4.65±2.8，P=0.89）、术后发热>38℃的妇女数量（分别为18例和14例，P=0.37）、伤口感染的妇女数量（分别为29例和35例，P=0.54）以及平均住院天数（分别为4.16±0.91和4.14±0.71，P=0.78）方面均无显著差异。
结论
剖宫产时缝合或不缝合腹膜对术后镇痛药物使用和短期发病率无显著影响。
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