摘要
目的分析比较初产妇正常分娩会阴侧切与自然撕裂的创口康复情况,探讨初产妇会阴侧切的科学性。方法选取干预会阴侧切前后2个时期的444例初产妇为研究对象,分为侧切组210例、未侧切组234例,比较2组产妇的出血量、裂伤程度、疼痛程度、愈合情况等创口康复指标。结果 2组产妇出院创口愈合情况比较,差异无统计学意义(χ2=0.4743,P>0.05);侧切组创口裂伤程度较自然撕裂创口严重,差异有统计学意义(z=-19.760,P<0.01);侧切组创口出血量更多,差异有统计学意义(t=4.4082,P<0.01);产后第1天、第2天侧切组创口疼痛评分更高,差异有统计学意义(第1天z=-8.971,P<0.01;第2天z=-9.787,P<0.01)。结论会阴侧切较自然撕裂在创口康复上并无明显优势,其临床实用性有待进一步探讨。
Objective To compare the wound healing conditions between the episiotomy and natural perineal laceration of primiparas and explore the science of episiotomy. Methods 444 primiparas were divided into episiotomy and non- episiotomy group,the 210 primiparas in episiotomy group were treated by routine nursing care,the 234 primiparas in non- episiotomy group were controlled the rate of episiotomy to compare the wound healing indicators including blood loss,laceration and pain degree,the station of healing. Results There was no significant difference in the station of wound healing between the two groups（ χ2= 0. 4743,P〈0. 05）,the laceration degree of episiotomy group was significantly serious than the non- episiotomy group（ z =- 19. 760,P〈0. 01）,the blood loss of episiotomy group was significantly more than the non- episiotomy group（ t = 4. 4082,P〈0. 01）. the pain degree of episiotomy group was significantly higher than the non- episiotomy group on the first and the second day after postpartum（ the first day： z =- 8. 971,P〈0. 01,the second day ： z =- 9. 787,P〈0. 01）. Conclusion Compared with the natural perineal laceration of primiparas,episiotomy had no obvious advantage,then the clinical value of episiotomy needs to be further studied.
基金
佛山市科技局2012年医学类科技攻关项目(项目编号:201208300)
关键词
初产妇
会阴侧切
自然裂伤
创口康复
Primiparas
Episiotomy
Natural perineal laceration
Wound healing
