液体伤口敷料与高锰酸钾改善会阴侧切切口愈合及疼痛程度的效果对比
Effect of liquid wound dressing and potassium permanganate on healing and pain of perineal incision
卓庚秀 1谢婷 1陈银凤1
作者信息
- 1. 赣州市赣县区人民医院妇产科,江西 赣州 341100
- 折叠
摘要
目的:研究液体伤口敷料与高锰酸钾对会阴侧切切口愈合及疼痛程度的改善效果.方法:对 2023 年4 月至～2024 年 2 月入组的 60 例阴道分娩行会阴侧切术的产妇,依照简单化随机分组(单双号法)分为敷料组(单数,N=30,采用液体伤口敷料处理),对照组(双数,N=30,采用高锰酸钾溶液处理).观察两组产妇治疗前、治疗第3 d、第5 d和第 7 d会阴侧切口疼痛程度[视觉模拟评分(VAS)和伤口疼痛分级]、愈合情况和血清皮质醇(Cor)水平.结果:治疗 3 d、第 5 d和第 7 d,两组产妇VAS疼痛评分和Cor水平均较治疗前逐渐降低(P＜0.05),且敷料组治疗 3 d、第5 d和第 7 d降低更明显(P＜0.05);敷料组疼痛总缓解率为 90.00%,显著高于对照组的 66.67%(P＜0.05);敷料组甲级愈合率为 60.00%,显著高于对照组的 33.33%(P＜0.05).结论:相较于高锰酸钾,液体伤口敷料对于缓解会阴侧切切口疼痛、促进愈合效果更佳,值得推荐.
Abstract
Objective:To study the effect of liquid wound dressing and potassium permanganate on healing and pain of perineal incision.Methods:From April 2023 to February 2024,60 cases of parturient parturients who underwent lateral perineal resection were divided into dressing group(singular,N=30,treated with liquid wound dressing)and control group(even,N=30,treated with potassium permanganate solution)according to simplified randomization(odd-even method).The pain degree of perineal incision(visual analogue scale(VAS)and wound pain scale),healing and serum cortisol(Cor)level were observed in the two groups before treatment,on the 3rd,5th and 7th day of treatment.Results:Compared with before treatment,VAS pain score and Cor level in 2 groups were decreased gradually(P<0.05),and the decrease was more significant in dressing group(P<0.05)after treatment on 3,5 and 7 days.The total pain relief rate in dressing group was 90.00%,significantly higher than 66.67%in control group(P<0.05).The grade A healing rate of dressing group was 60.00%,which was significantly higher than that of control group(33.33%)(P<0.05).Conclusion:Compared with potassium permanganate,liquid wound dressing has better effect on relieving pain and promoting healing of perineal incision,which is worth recommending.
关键词
会阴侧切/液体伤口敷料/高锰酸钾/切口愈合/疼痛Key words
Lateral perineal incision/Liquid wound dressing/Potassium permanganate/Wound healing/pain引用本文复制引用
出版年
2024
NETL
NSTL
万方数据