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时间:2020-05-19
《生理盐水联合甲硝唑注射液冲洗并湿敷在会阴侧切伤口中的应用研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、当代医学2015年3月第2l卷第8期总第379期ContemporaryMedicine,Mar.2015,Vo1.21No.8IssueNo.379doi:l0.3969’/j.issn.1009-4393.2015.8.035生理盐水联合甲硝唑注射液冲洗并湿敷在会阴侧切伤口中的应用研究李利军[摘要】目的探讨生理盐水联合甲硝唑注射液冲洗并湿敷在会阴侧切伤口中的应用效果。方法将282例经阴道分娩行会阴侧切术的初产妇,随机均分为研究组和对照组(=141)。研究组缝合前先用生理盐水冲洗,常规缝合后产妇每天用1:20碘伏溶液擦洗会阴切口然后敷上甲硝.唑注射液浸湿
2、的无菌纱布。对照组常规缝合后每天仅用1:20碘伏溶液擦洗。观察记录2组患者术后不良反应、拆线天数和切IJ愈合情况。结果研究组甲级愈合人数显著高于对照组,2组差异有统计学意义(尸3、tiveTodiscussoverclinicaleffectofnoITnalsalineincombinationwithmetronidazoleinjectiondouchingandhydropathiccompressingforpatientswithlateralepisiotomywound.Methods282patientswithlateralepisiotomywererandomlydividedintothestudygroup:141)andcontrolgroup=141).Thecasesinthestudygroupw4、eredouchinglateralepisiotomywoundwithnormalsalinebeforesuturing.Thelateralepisiotomywoundwasexternalusedbyiodophor(1:20)aftersuturing.,thenthelateralepisiotomywoundwashydropathiccompressedbymetronidazoleinjection.Thecasesinthecontrolgroupweresimplyextemalusedbyiodophor(1:20)afters5、uturing.Thepostoperativeadverseefects,stitchesdaysandwoundhealingforthetwogroupswereobserved.ResuItsClass—Ahealingrateofpatientsinthestudygroupwassignificantlyhigherthanthatofpatientsinthecontrolgroup(P<0.05).Andthestitchesdaysofthestudygroup(4.5+0.65)wassignificantlylowerthanthat6、ofthecontrolgroup(6.12:LO.ss).Theadverseeffectsofthestudygroupwassignificantlylowerthanthatofthecontrolgroup(P<0.05).ConclusionTheapplicationofnormalsalineincombinationwithmetronidazoleinjectiondouchingandhydropathiccompressingforpatientswithlateralepisiotomywoundisanidealnursingm7、ethod,easytouseandcheap,whichiswo~hytospreadinclinic.【Keywords】Lateralepisiotomywound;Metronidazole;Hydropathiccompress会阴侧切术是常见的妇产科手术,为预防会阴Ⅲ度裂伤,避的切口。观察切口愈合标准有3级:甲级愈合,用“甲”代表,是指免产后盆底松弛,预防新生儿窒息,有利胎JLJi!~tl娩出,现临床大愈合优良,没有不良反应的初期愈合;乙级愈合,用“乙”代表,是多采用会阴侧切术“。但会阴侧切缝合术后感染为最常见的并发指愈合欠佳,愈合处有炎症反应8、,如红肿、硬结、血肿、积液等,但症,主要表现为切口红肿、血肿、化脓
3、tiveTodiscussoverclinicaleffectofnoITnalsalineincombinationwithmetronidazoleinjectiondouchingandhydropathiccompressingforpatientswithlateralepisiotomywound.Methods282patientswithlateralepisiotomywererandomlydividedintothestudygroup:141)andcontrolgroup=141).Thecasesinthestudygroupw
4、eredouchinglateralepisiotomywoundwithnormalsalinebeforesuturing.Thelateralepisiotomywoundwasexternalusedbyiodophor(1:20)aftersuturing.,thenthelateralepisiotomywoundwashydropathiccompressedbymetronidazoleinjection.Thecasesinthecontrolgroupweresimplyextemalusedbyiodophor(1:20)afters
5、uturing.Thepostoperativeadverseefects,stitchesdaysandwoundhealingforthetwogroupswereobserved.ResuItsClass—Ahealingrateofpatientsinthestudygroupwassignificantlyhigherthanthatofpatientsinthecontrolgroup(P<0.05).Andthestitchesdaysofthestudygroup(4.5+0.65)wassignificantlylowerthanthat
6、ofthecontrolgroup(6.12:LO.ss).Theadverseeffectsofthestudygroupwassignificantlylowerthanthatofthecontrolgroup(P<0.05).ConclusionTheapplicationofnormalsalineincombinationwithmetronidazoleinjectiondouchingandhydropathiccompressingforpatientswithlateralepisiotomywoundisanidealnursingm
7、ethod,easytouseandcheap,whichiswo~hytospreadinclinic.【Keywords】Lateralepisiotomywound;Metronidazole;Hydropathiccompress会阴侧切术是常见的妇产科手术,为预防会阴Ⅲ度裂伤,避的切口。观察切口愈合标准有3级:甲级愈合,用“甲”代表,是指免产后盆底松弛,预防新生儿窒息,有利胎JLJi!~tl娩出,现临床大愈合优良,没有不良反应的初期愈合;乙级愈合,用“乙”代表,是多采用会阴侧切术“。但会阴侧切缝合术后感染为最常见的并发指愈合欠佳,愈合处有炎症反应
8、,如红肿、硬结、血肿、积液等,但症,主要表现为切口红肿、血肿、化脓
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