暖宫贴联合生化汤对会阴侧切术后切口愈合及疼痛的影响  

Effect of Warm Uterus Paste Combined with Shenghua Decoction on Incision Healing and Pain After Lateral Perineal Incision Surgery

作　　者：王晨静 杨方纬[1] 黄江萍 WANG Chenjing;YANG Fangwei;HUANG Jiangping(Obstetrics Department of Yiwu Central Hospital,Yiwu Zhejiang 322000,China)

机构地区：[1]义乌市中心医院产科,浙江义乌322000

出　　处：《新中医》2025年第4期116-120,共5页New Chinese Medicine

摘　　要：目的:观察暖宫贴联合生化汤对会阴侧切术后切口愈合及疼痛的影响。方法:回顾性分析于2022年1月—2023年4月在义乌市中心医院行会阴侧切术分娩的95例产妇资料,根据术后护理干预方案将其分为常规组47例和联合组48例。常规组术后给予常规护理干预,联合组术后在此基础上给予暖宫贴联合生化汤治疗,2组均持续干预5天。比较2组产妇术后切口愈合情况、疼痛[疼痛视觉模拟评分法(VAS)]水平、炎症指标[C-反应蛋白(CRP)、白细胞计数(WBC)]水平差异。结果:治疗后,联合组会阴切口愈合情况优于常规组(P<0.05);联合组平均愈合时间(6.12±1.21)d,短于常规组(7.46±2.03)d,差异有统计学意义(P<0.05)。治疗前,2组会阴切口VAS评分、水肿评分比较,差异无统计学意义(P>0.05);治疗后,2组会阴切口VAS评分、水肿评分较治疗前均下降(P<0.05),且联合组上述2项评分均低于常规组(P<0.05)。治疗前,2组宫缩VAS评分比较,差异无统计学意义(P>0.05);治疗48h后,2组宫缩VAS评分均较治疗前下降(P<0.05),且联合组宫缩VAS评分明显低于常规组(P<0.05)。联合组每次平均宫缩痛持续时间(0.34±0.09)h,短于常规组(0.58±0.13)h,差异有统计学意义(P<0.05)。治疗后,2组CRP、WBC水平均较治疗前下降(P<0.05),且联合组CRP、WBC水平均低于常规组(P<0.05)。结论:暖宫贴联合生化汤应用于会阴侧切术后产妇,可以显著降低血清炎症介质水平,有效减轻疼痛程度,加速术后切口愈合,有利于促进产妇术后康复。Objective:To observe the effect of Warm Uterus Paste combined with Shenghua Decoction on incision healing and pain after lateral perineal incision surgery.Methods:A retrospective analysis was conducted on the data of 95 parturients who underwent lateral perineal incision surgery at Yiwu Central Hospital from January 2022 to April 2023.According to the postoperative nursing intervention plan,they were divided into the routine group of 47 cases and the combination group of 48 cases.The routine group received routine nursing intervention after surgery,while the combination group received Warm Uterus Paste combined with Shenghua Decoction on this basis.Both groups were continuously intervened for five days.Compared the differences in postoperative incision healing,pain[Visual Analogue Scale(VAS)]levels,and inflammatory markers such as C-reactive protein(CRP)and white blood cell count(WBC)between the two groups.Results:After treatment,the perineal incision healing in the combination group was better than that in the routine group(P<0.05).The average healing time in the combination group(6.12±1.21)d was shorter than that in the routine group(7.46±2.03)d,the difference being significant(P<0.05).Before treatment,there was no significant difference in VAS scores and edema scores of perineal incisions between the two groups(P>0.05).After treatment,the VAS scores and edema scores of the perineal incision in both groups were decreased when compared with those before treatment(P<0.05),and the combination group had lower scores in both aspects than the routine group(P<0.05).Before treatment,there was no significant difference in the VAS scores of uterine contractions between the two groups(P>0.05);After 48 hours of treatment,the VAS scores for uterine contractions in both groups were decreased when compared with those before treatment(P<0.05),and the VAS score for uterine contractions in the combination group was significantly lower than that in the control group(P<0.05).The average duration of uterine contractions in the co

关 键 词：会阴侧切术 围手术期 生化汤 暖宫贴 切口愈合 

分 类 号：R714.3[医药卫生—妇产科学]