摘要
目的分析预防性治疗产妇会阴侧切缝合术后切口感染的临床疗效,以指导提升产妇临床预后。方法分析2012年4月-2014年4月医院收治的行顺产分娩且会阴侧切缝合术产妇874例,随机分为治疗组436例与对照组438例,对照组给予常规治疗,治疗组产妇在对照组治疗基础上,在手术缝合后将珍珠粉均匀撒布于切口缝合处;比较两组切口感染率、切口愈合程度及会阴切口疼痛情况。结果治疗组与对照组切口感染率分别为0.45%、2.29%(P<0.05);两组愈合程度比较,治疗组显著优于对照组(P<0.05);术后12h、1、2、3d切口疼痛评分比较,治疗组均显著优于对照组(P<0.05)。结论采用缝合后给予珍珠粉预防治疗会阴侧切缝合术后切口感染,临床疗效确切,有效降低切口感染率,提高切口愈合程度。
OBJECTIVE To observe the clinical effect of prophylactic use of episiotomy on prevention of postoperative incision infections in the puerperae after the suture so as to improve the clinical prognosis.METHODS A total of 874 puerperae who gave natural delivery and underwent the episiotomy suture in the hospital from Apr 2012 to Apr 2014 were enrolled in the study and randomly divided into the treatment group with 436 cases and the control group with 438 cases.The control group was treated with conventional therapy,while the observation group was treated with pearl powder scattered on the incision suture site on the basis of the treatment of the control group.The incidence of incision infections,incision healing degree,and degree of pain were observed and compared between the two groups of patients.RESULTS The incidence of incision infections was 0.45% in the treatment group,2.29%in the control group（P〈0.05）.The incision healing degree of the treatment group was significantly better than that of the control group（P〈0.05）.The incision pain scores at 12 hours,1,2,and 3days after the surgery were significantly better in the treatment group than in the control group（P〈0.05）.CONCLUSION The use of pearl powder can achieve exact clinical effect on prevention of postoperative incision infections in the episiotomy puerperae after the suture,effectively reduce the incidence of the incision infections,and improve the incision healing degree.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第17期4028-4029,4035,共3页
Chinese Journal of Nosocomiology
基金
山东省科技局基金资助项目[JB(S)2014-3-24A-2]
