复合式昆脂愈肤灵会阴护垫在会阴伤口护理中的应用研究  

Clinical study on application of compound KunZhiYuFuLing perineal pad in nursing of perineum wound

作　　者：刘爱玲[1] 刘敏[1] 

机构地区：[1]山东省枣庄市立医院,277102

出　　处：《中国实用护理杂志》2009年第4期1-3,共3页Chinese Journal of Practical Nursing

基　　金：枣庄市卫生局立项课题（200875）

摘　　要：目的寻找一种适用于会阴伤口护理的有效方法，提高会阴伤口的甲级愈合率，减轻产妇痛苦。方法选取2005年1-6月经阴道自然分娩有会阴伤口的产妇120例作为对照组，再选取2006年1-6月经阴道自然分娩有会阴伤口的产妇120例作为观察组。于产后伤口缝合完毕，对照组采用传统的碘伏擦洗法护理会阴伤口；观察组用碘伏擦洗后，再使用自制昆脂愈肤灵会阴护垫护理会阴伤口。观察2组产妇会阴伤口肿胀消退时间、疼痛程度、伤口愈合情况及拆线时间。结果与对照组比较，观察组产后24h会阴侧切伤口肿胀例数明显低于对照组；切口疼痛程度也低于对照组；伤门甲级愈合率显著高于对照组；伤口拆线时间早。结论采用自制的昆脂愈肤灵会阴护垫护理效果优于传统的护理方法．能加速伤口肿胀消退，有效地缓解疼痛，明显地降低会阴伤口的感染率，促进伤口愈合，缩短拆线时间；且制作简单，使用方便。值得推广应用。Objective To search an effective method for the attendance of perineum wound to enhance the first healing rate of wounds and relieve the pain of puerperas. Methods 120 puerperas with perineum wounds after spontaneous delivery per vagina from January to June ,2005 were selected as the control group, and the observation group were composed of 120 puerperas with perineum wounds after spontaneous delivery, per vagina from January to June, 2006. With the complete of wounds suture post parturn, wounds were swabbed with iodophors only in the control group; in the observation group, after swabbling with iodophors, wounds were attended with the KunZhiYuFuLing perineal pad for perineum wounds. The time of detumescence, the degree of pain, the first healing rate and the time of sutures oat were compared between the two groups. Results Compared with the control group, during the 24 hours post parturn, the numher of wounds detumescence and the degree of pain in the observation group was both significandy reduced. The first healing rate in the observation group was significantly increased than that in the control group. And compared with the control group, the time of suture out in the observation group was significantly shorter. Conclusions The method with the KunZhiYuFuLing perineal pad for perineum wounds has better effect than traditional methods. It can speed up detumeseence, relieve pain effectively, cut down the wounds infection, promote the wounds healing, reduce the time of suture out; furthermore it is manufactured easily, used conveniently, and deserve to be generalized in clinic.

关 键 词：碘伏 昆脂愈肤灵会阴护垫 会阴伤口 护理 

分 类 号：R473.71[医药卫生—护理学]