30°会阴切开及皮内缝合术对产妇切口愈合的影响  

Effect of the 30° Perineum Incision and Intradermic Suturation on the Wound Healing of Perineum in Pregnant Women

作　　者：杨凤英[1] 刘海萍[2] 敖红英[3] 占伏良[1] 涂伟妹[1] 谭布珍[1] 

机构地区：[1]南昌大学第二附属医院妇产科,江西南昌330006 [2]南昌大学第三附属医院护理部 [3]南昌大学第一附属医院

出　　处：《护理学杂志》2006年第20期8-10,共3页

基　　金：江西省卫生厅科技计划项目(20051103)

摘　　要：目的探讨不同会阴切开方式及缝合术对产妇会阴切口愈合的影响。方法将252例足月妊娠拟经阴道分娩的初产妇随机分为两组,观察组(130例)行会阴30°切开及薇荞线皮内包埋缝合术,对照组(122例)行会阴45°侧切开及羊肠线、丝线缝合术。观察两组切口撕裂伤率、出血量,术后伤口肿胀、疼痛、愈合情况及住院时间。结果观察组阴道裂伤率32.31%,对照组为57.38%,两组比较,差异有显著性意义(P<0.01);观察组会阴切口出血量少、疼痛程度轻、住院时间短、切口愈合良好(均P<0.01)。结论30°会阴切开及皮内缝合术对产妇会阴损伤小、切口疼痛反应轻,切口愈合良好,住院时间短,有利于产妇早期下床活动,提高母乳喂养率,对提高产科医疗护理质量有重要意义。Objective The effect of different perineum incisions and suturation techniques on the wound healing of perineum was investigated in pregnant women. Methods Two hundred and fifty-two primiparas, who had over 37 gestation weeks and were going to receive vaginal delivery, were divided into an experimental group （n= 130） and a control group （n = 122）. In the experimental group the 30° perineum incision and intradermic suturation with Vicryl threads were used, while in the control group, the 45° incision and suturing with chord chirurg and suture silk were used. The two groups were observed for the laceration of wound, blood loss, wound swelling after operation, pain, healing and time of hospital stay. Results The rate of the vaginal laceration was 32.31% in the experimental group, while the rate in the control group was 57.38%, and there was a significant difference between the two groups （P〈 0.01）. Compared with the controls, the blood loss was less, pain was mild, hospital stay time was shorter and the wound healed well （P〈0.01 for all）. Conclusion The modified 30° perineum incision plus intradermic suturation technique causes less injury to perineum and pain, lead to a better wound healing and shorten the hospital stay time.

关 键 词：分娩 会阴切开 皮内包埋缝合术 切口愈合 

分 类 号：R473.71[医药卫生—护理学]