改良式会阴侧切缝合法对患者切口愈合速度和美容效果的影响
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摘要
目的:探讨改良式会阴侧切缝合法在经阴道分娩中的应用效果及对切口愈合速度、美容效果的影响。方法:选取2017年2月-2018年2月在笔者医院接受经阴道分娩且会阴侧切的产妇为研究对象。根据其缝合方法分为传统缝合组(对照组)和改良式会阴侧切缝合组(观察组)。观察两组患者出血量、术后疼痛评分,比较两组患者切口愈合时间、愈合等级、感染发生率和美容满意率等。结果:观察组患者出血量及术后VAS评分为(6.02±1.48)ml、(2.11±0.97)分均少于对照组的(10.58±2.24)ml、(4.32±1.02)分,差异有统计学意义(P<0.05)。观察组患者切口愈合时间为(5.21±1.24)d少于对照组的(9.35±1.48)d,差异有统计学意义(P<0.05)。两组感染发生率比较,差异无统计学意义(P>0.05)。观察组甲级愈合率95.00%明显多于对照组的75.00%,且观察组患者满意率为100.00%,明显高于对照组的87.50%,差异有统计学意义(P<0.05)。结论:改良式会阴侧切缝合法在经阴道分娩中的应用效果较好,可加快患者切口愈合速度,提高美容满意度,具有良好的临床应用价值。
Objective To explore the effect of modified lateral episiotomy suture in transvaginal delivery and its influence on the healing speed and cosmetic effect of incision. Methods The pregnant women who underwent vaginal delivery and perineal lateral incision in our hospital from February 2017 to February 2018 were selected as the subjects. According to the suture method, they were divided into the traditional suture group and the modified lateral episiotomy suture group. The bleeding volume and postoperative pain score of the two groups were observed. The difference of incision healing time, healing level, incidence of infection and cosmetic satisfaction between the two groups were compared. Results The bleeding volume and VAS scores of the observation group were(6.02±1.48) ml and(2.11±0.97) less than those of the control group(10.58±2.24) ml and(4.32±1.02), the differences were statistically significant(P<0.05). The healing time of incision in the observation group was(5.21±1.24) d less than that in the control group[(9.35±1.48)d, P<0.05]. There was no significant difference in the incidence of infection between the two groups(P>0.05). The healing rate of grade A in the observation group was 95.00%, which was significantly higher than 75.00% in the control group(P<0.05). And the satisfaction rate of the observation group was 100.00%, which was significantly higher than 87.50% in the control group(P<0.05). Conclusion The modified perineal slit method has good effect in vaginal delivery, and it can promote the healing speed of incision and improve the satisfaction of beauty. It has good clinical value.
Objective To explore the effect of modified lateral episiotomy suture in transvaginal delivery and its influence on the healing speed and cosmetic effect of incision. Methods The pregnant women who underwent vaginal delivery and perineal lateral incision in our hospital from February 2017 to February 2018 were selected as the subjects. According to the suture method, they were divided into the traditional suture group and the modified lateral episiotomy suture group. The bleeding volume and postoperative pain score of the two groups were observed. The difference of incision healing time, healing level, incidence of infection and cosmetic satisfaction between the two groups were compared. Results The bleeding volume and VAS scores of the observation group were(6.02±1.48) ml and(2.11±0.97) less than those of the control group(10.58±2.24) ml and(4.32±1.02), the differences were statistically significant(P<0.05). The healing time of incision in the observation group was(5.21±1.24) d less than that in the control group[(9.35±1.48)d, P<0.05]. There was no significant difference in the incidence of infection between the two groups(P>0.05). The healing rate of grade A in the observation group was 95.00%, which was significantly higher than 75.00% in the control group(P<0.05). And the satisfaction rate of the observation group was 100.00%, which was significantly higher than 87.50% in the control group(P<0.05). Conclusion The modified perineal slit method has good effect in vaginal delivery, and it can promote the healing speed of incision and improve the satisfaction of beauty. It has good clinical value.
引文
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[5]刘菲菲,白云,高岩冰,等.经会阴超声评估不同分娩方式对女性前盆腔的短期影响[J].中华超声影像学杂志,2016,25(6):516-519.
[6]Chikazawa K,Ushijima J,Takagi K,et al.Site and incidence of birth canal lacerations from instrumental delivery with mediolateral episiotomy[J].Taiwan J Obstet Gyne,2016,55(6):861-862.
[7]陈静,龚国芸,黄晴,等.经会阴三维超声评估不同分娩方式对初产女性盆膈裂孔影响的临床价值[J].重庆医科大学学报,2016,11(7):703-707.
[8]唐立春.无保护会阴阴道自然分娩与常规阴道分娩临床应用价值分析[J].重庆医学,2017,14(1):347-348.
[9]Fodstad K,Staff AC,Laine K.Episiotomy preferences,indication and classification-a survey among Nordic doctors[J].Acta Obstet Gynecol Scand,2016,95(5):587-595.
[10]何浪驰,叶明,黄柳.不同分娩方式产后盆底肌力的测定及意义[J].广东医学,2016,37(9):1347-1349.
[11]Gonzalez-Díaz E,Fernández FC,Fernández CA.Differences in characteristics of mediolateral episiotomy in proffesionals at the same hospital[J].J Matern Fetal Neonatal Med,2016,29(14):2368-2372.
[12]顾春怡,张铮,朱春香,等.孕妇分娩计划的实施效果评价[J].中华护理杂志,2016,51(12):1461-1465.
[13]陈雅颂,袁力,钟沅月.新产程标准对瘢痕子宫孕妇再次阴道分娩结局的影响[J].广东医学,2017,38(22):3473-3474.
[2]张清杰.帕累托法联合品管圈活动在会阴侧切中的应用效果[J].中国全科医学,2017,20(1):92-93.
[3]刘璐,谢婷婷,张桂萍,等.经会阴三维超声检查初产妇肛提肌损伤及其危险因素相关性研究[J].重庆医学,2016,45(4):436-438.
[4]胡孟彩,郑雪芹,赵冰,等.会阴侧切初产妇产后6~8周盆底功能和盆底器官脱垂观察[J].山东医药,2017,57(35):53-55.
[5]刘菲菲,白云,高岩冰,等.经会阴超声评估不同分娩方式对女性前盆腔的短期影响[J].中华超声影像学杂志,2016,25(6):516-519.
[6]Chikazawa K,Ushijima J,Takagi K,et al.Site and incidence of birth canal lacerations from instrumental delivery with mediolateral episiotomy[J].Taiwan J Obstet Gyne,2016,55(6):861-862.
[7]陈静,龚国芸,黄晴,等.经会阴三维超声评估不同分娩方式对初产女性盆膈裂孔影响的临床价值[J].重庆医科大学学报,2016,11(7):703-707.
[8]唐立春.无保护会阴阴道自然分娩与常规阴道分娩临床应用价值分析[J].重庆医学,2017,14(1):347-348.
[9]Fodstad K,Staff AC,Laine K.Episiotomy preferences,indication and classification-a survey among Nordic doctors[J].Acta Obstet Gynecol Scand,2016,95(5):587-595.
[10]何浪驰,叶明,黄柳.不同分娩方式产后盆底肌力的测定及意义[J].广东医学,2016,37(9):1347-1349.
[11]Gonzalez-Díaz E,Fernández FC,Fernández CA.Differences in characteristics of mediolateral episiotomy in proffesionals at the same hospital[J].J Matern Fetal Neonatal Med,2016,29(14):2368-2372.
[12]顾春怡,张铮,朱春香,等.孕妇分娩计划的实施效果评价[J].中华护理杂志,2016,51(12):1461-1465.
[13]陈雅颂,袁力,钟沅月.新产程标准对瘢痕子宫孕妇再次阴道分娩结局的影响[J].广东医学,2017,38(22):3473-3474.