首页|富血小板血浆对产妇会阴侧切伤口愈合的影响及负性情绪改善作用分析

富血小板血浆对产妇会阴侧切伤口愈合的影响及负性情绪改善作用分析

Analysis of the Effect of Platelet-rich Plasma on the Healing of Perineal Lateral Incision Wounds in Parturient Women and Its Impact on Improve-ment of Negative Emotions

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目的 探讨富血小板血浆(PRP)对产妇会阴侧切伤口愈合、疼痛和肿胀程度的影响及负性情绪的改善作用.方法 选取2024 年1 月至5 月行会阴侧切产妇90 例作为研究对象,随机数字表法分为常规组(n=45)、PRP组(n=45).常规组常规处理会阴侧切伤口,PRP组切口两侧皮下多点注射PRP后常规处理.比较2 组术后第1、2、7、14 天疼痛视觉模拟评分法(VAS)、发红水肿淤斑分泌物伤口边缘接合量表(REEDA)、患者健康问卷抑郁量表-9(PHQ-9)、广泛性焦虑量表-7(GAD-7)评分.比较2 组临床症状缓解时间、疗效优良率及伤口感染率.结果 PRP组术后第7、14 天疼痛VAS、REEDA、PHQ-9 以及GAD-7 评分均低于常规组(P<0.05).PRP组肿胀缓解时间、疼痛缓解时间短于常规组(P<0.05).PRP组疗效优良率为 100.00%(45/45),高于常规组 86.67%(39/45,P<0.05).PRP组伤口感染率为0,低于常规组的13.33%(6/45,P<0.05).结论 产妇会阴侧切后予以PRP治疗可促进伤口愈合,缩短肿胀、疼痛缓解时间,减轻疼痛程度,改善负性情绪,降低感染风险.
Objective To investigate the effect of platelet-rich plasma(PRP)on wound healing,pain and swelling levels,and improvement of negative emotions in patients undergoing perineal lateral incision.Methods A total of 90 parturi-ent women undergoing perineal lateral incision from January to May 2024 were selected as the research subjects,and they were divided into a conventional group(n=45)and a PRP group(n=45)according to random number table method.The con-ventional group received conventional treatment for the perineal lateral incision wounds,while the PRP group received conven-tional treatment after subcutaneous multi-point injection of PRP on both sides of the incision.The visual analog scale(VAS)pain score,redness,edema,ecchymosis,discharge,and wound edge approximation scale(REEDA),patient health ques-tionnaire depression scale-9(PHQ-9),and generalized anxiety disorder-7(GAD-7)were compared between the two groups at 1,2,7,and 14 d after surgery.The clinical symptom relief time,excellent and good rate of efficacy,and wound infection rate were compared between the two groups.Results The scores of VAS pain,REEDA,PHQ-9,and GAD-7 in the PRP group were lower than those in the conventional group at 7 and 14 d after surgery(P<0.05).The PRP group had a shorter swelling relief time and pain relief time.The excellent and good rate of the PRP group was 100.00%(45/45),which was higher than that of the conventional group's[86.67%(39/45)](P<0.05).The wound infection rate in the PRP group was 0,which was lower than that of the conventional group[13.33%(6/45)](P<0.05).Conclusion PRP treatment follow-ing perineal lateral incision can promote wound healing,shorten the time for swelling and pain relief,reduce pain levels,im-prove negative emotions,and reduce the risk of infection in parturient women.

Postpartum womenPerineal lateral incisionPlatelet-rich plasmaWound healingPainDepressionAnxietyInfection

梁敏仪、郭跃文、谢英连、伍惠姗、罗健敏

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528300 广东 佛山,南方医科大学顺德医院(佛山市顺德区第一人民医院)产科

产妇 会阴侧切术 富血小板血浆 伤口愈合 疼痛 抑郁 焦虑 感染

2025

临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

影响因子:0.914
ISSN:1002-3429
年,卷(期):2025.38(1)