紫榆膏外敷联合中药汤剂会阴冲洗对会阴侧切术后产妇切口疼痛、感染及愈合效果的影响  

Effect of External Application with Ziyu Ointment Combined with Traditional Chinese Medicine Decoction for Perineal Irrigation on Postoperative Incision Pain,Infection,and Healing in Patients Underwent Lateral Episiotomy

作　　者：唐翠 王霞 刘志青 秦志娟 史晓哲 TANG Cui;WANG Xia;LIU Zhiqing;QIN Zhijuan;SHI Xiaozhe(Xinle Hospital,Shijiazhuang,Hebei,China 050799;Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei,China 050013)

机构地区：[1]河北省新乐市医院,河北石家庄050799 [2]河北省中医院,河北石家庄050013

出　　处：《中国药业》2023年第9期94-97,共4页China Pharmaceuticals

基　　金：河北省中医药管理局科研计划项目[2020121]。

摘　　要：目的探讨紫榆膏外敷联合中药汤剂会阴冲洗对会阴侧切术后产妇切口疼痛、感染及愈合效果的影响。方法选取河北省中医院2019年10月至2021年9月收治的分娩并行会阴侧切术的产妇120例,按随机数字表法分为观察组和对照组,各60例。观察组产妇在紫榆膏外敷基础上联合中药汤剂会阴冲洗,对照组产妇予碘伏稀释液会阴冲洗。两组产妇均每日治疗2次,连续治疗5 d。结果治疗后,两组产妇的切口疼痛评分均显著降低,且观察组显著更低(P<0.05)。观察组产妇切口的甲级愈合率和总愈合率分别为56.67%和86.67%,均显著高于对照组的38.33%和55.00%(P<0.05);切口愈合时间显著短于对照组(P<0.05)。观察组产妇的切口感染率为11.67%,显著低于对照组的26.67%(P<0.05);湿疹发生率为13.33%,显著低于对照组的28.33%(P<0.05);会阴水肿改善总有效率为65.00%,显著高于对照组的45.00%(P<0.05)。治疗后,两组产妇的血浆黏度、C反应蛋白、白细胞介素8水平均显著降低,且观察组均显著更低(P<0.05);血管内皮生长因子和碱性成纤维细胞生长因子水平均显著升高,且观察组均显著更高(P<0.05)。结论紫榆膏外敷联合中药汤剂会阴冲洗能明显减轻会阴侧切术后产妇的切口疼痛,促进其切口愈合,减少感染,改善水肿,缓解湿疹。Objective To investigate the effect of Ziyu Ointment combined with traditional Chinese medicine(TCM)decoction for perineal irrigation on postoperative incision pain,infection,and healing in patients underwent lateral episiotomy.Methods A total of 120 parturients who delivered vaginally and underwent lateral episiotomy from October 2019 to September 2021 in the Hebei Hospital of Traditional Chinese Medicine were selected and divided into the observation group and the control group by the random number table method,with 60 cases in each group.The parturients in the observation group received the external application of Ziyu Ointment combined with TCM decoction for perineal irrigation,while the parturients in the control group received perineal irrigation combined with iodophor diluent.Both groups were treated twice a day for 5 d.Results After treatment,the incision pain scores in the two groups were significantly lower than those before treatment,and those in the observation group were significantly lower than those in the control group(P<0.05).The grade A healing rate and total healing rate of the incision in the observation group were 56.67%and 86.67%,which were significantly higher than 38.33%and 55.00%in the control group(P<0.05),and the healing time of the incision in the observation group was significantly shorter than those in the control group(P<0.05).The incision infection rate in the observation group was 11.67%,which was significantly lower than 26.67%in the control group(P<0.05).The incidence of eczema in the observation group was 13.33%,which was significantly lower than 28.33%in the control group(P<0.05).The total effective rate of the improvement of perineal edema in the observation group was 65.00%,which was significantly higher than 45.00%in the control group(P<0.05).After treatment,the plasma viscosity,and the levels of C-reactive protein(CRP)and interleukin-8(IL-8)in the two groups were significantly lower than those before treatment,and those in the observation group were significantly lower tha

关 键 词：紫榆膏 中药汤剂 会阴侧切术 切口疼痛 切口感染 切口愈合 

分 类 号：R932[医药卫生—生药学] R285.6[医药卫生—药学]