| 孙颖.湿润烧伤膏治疗剖宫产及会阴侧切术后切口愈合不良疗效观察[J].中国烧伤创疡杂志,2021,(3):211~214. |
| DOI： |
| 中文关键词: 湿润烧伤膏 产后 切口 感染 疼痛 愈合 |
| 英文关键词:MEBO Postpartum Incision Infection Pain Healing |
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| 中文摘要: |
| 【摘要】 目的 观察湿润烧伤膏治疗剖宫产及会阴侧切术后切口愈合不良的临床疗效? 方法 选取 2017 年 6 月至 2019 年 12 月廊坊市第四人民医院收治的60例剖宫产及会阴侧切术后切口愈合不良产妇作为研究对象, 并按照随机数表法将其随机分为观察组与对照组, 每组 30 例, 观察组患者局部切口采用湿润烧伤膏换药治疗, 对照组患者局部切口采用常规碘伏消毒?生理盐水纱布或 1% 依沙吖啶纱布引流治疗, 对比两组患者切口愈合时间及切口疼痛程度? 结果 观察组患者切口愈合时间≤10 d 者 25 例? 10 ~ 20 d 之间者 5 例, 对照组患者切口愈合时间≤10 d 者 16 例? 10 ~ 20 d之间者10例? > 20 d 者4例, 观察组患者切口愈合时间明显短于对照组(Z = 2.628, P = 0.009)? 观察组患者中无明显疼痛不适 21例? 轻度疼痛8例?中度疼痛1例, 对照组患者中无明显疼痛不适5例?轻度疼痛 18 例? 中度疼痛5例?重度疼痛2例, 观察组患者切口疼痛程度明显低于对照组(Z =-4.203, P < 0.001)? 结论 湿润烧伤膏可有效减轻剖宫产及会阴侧切术后愈合不良切口的疼痛程度, 缩短切口愈合时间, 值得临床推广应用? |
| 英文摘要: |
| 【Abstract】Objective: To observe the clinical efficacy of MEBO in the treatment of poor incision healing after C-section and lateral episiotomy. Methods: Sixty women patients with poor incision healing following C-section and lateral episiotomy admitted into Langfang Fourth People’s Hospital between June 2017 and December 2019, were selected as research subjects and divided, according to the random number table, into an observation group and a control group, each 30 cases. The topical incisions of patients in the observation group were treated with the dressing change of MEBO, whereas the topical incisions of patients in the control group were disinfected with iodine regularly, followed by drainage with normal saline gauze or 1% Ethacridine gauze. The incision healing time and pain degree were compared between the two groups. Results: In the observation group, the incision healing time was ≤10 d in 25 cases and 10-20 d in 5 cases, while in the control group the incision healing time was ≤10 d in 16 cases, 10-20 d in 10 cases and ＞20 d in 4 cases. The overall healing time in the observation group was significantly shorter than that in the control group(Z=2.628, P=0.009). In the observation group 21 cases basically showed no obvious pain, 8 cases reported mild pain and 1 cases moderate pain. In contrast, 5 cases basically showed no obvious pain, 18 cases had mild pain, 5 cases moderate pain and 2 cases severe pain. The overall incision pain in the observation group was markedly milder than that in the control group(Z=-4.203, P=0.291). Conclusion: MEBO can effectively reduce the pain degree of poor incision healing after C-section and lateral episiotomy, and shorten the incision healing time, deserving to be promoted in clinical practice. |
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