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一根线头缝合会阴的临床观察(1)
http://www.100md.com 2010年6月25日 彭秋英,陈根英,罗虹英
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     [摘要] 目的:探讨一根线头连续缝合会阴的临床应用效果。方法:将200例Ⅱ度会阴裂伤及会阴侧切术后的产妇随机分为观察组和对照组,对其缝合时间、伤口疼痛程度、住院时间、切口愈合情况、线头反应情况进行比较。结果:采用一根线头缝合会阴的产妇缝合时间更短,疼痛更轻,住院时间更短,切口全部甲级愈合,无一例出现线头反应。结论:一根线头连续缝合会阴的方法减轻了产妇的痛苦,有利于母乳喂养,节省了产妇的费用;提高了医院病床周转率,减轻了医务人员的工作负担,且安全、可靠,值得推广应用。

    [关键词] 一根线头;会阴;连续缝合

    [中图分类号] R713.2[文献标识码]A [文章编号]1673-7210(2010)06(c)-033-02

    Clinical application of continuously suture to perineum using a piece of suture

    PENG Qiuying1, CHEN Genying2, LUO Hongying3

    (1.The Second Hospital of Xinyu City, Xinyu 338000, China; 2.Maternal and Child Health Hospital of Xinyu City, Xinyu 338000, China; 3.The Mining Jianxin Hospital of Fengcheng City, Fengcheng 331130, China)

    [Abstract] Objective: To explore the clinical effects of continuously suture to perineum only using a piece of suture. Methods: 200 cases of puerperas who had suffered Ⅱ-degree perineal laceration and had been operated lateral episiotomy were divided into observation group and control group. The suturing time, pain intensity of cut, hospitalization time, incision healing condition and postoperative lint reaction were compared between two groups. Results: The puerperas who used a piece of suture had the shorter, lighter pain, shorter hospital stay, all wounds healed incision and no lint reaction. Conclusion: Suturing perineum with a piece of suture reduces the pain of poerperas, and is propitious to breast-feeding; save the cost, increase the turnover rate of hospital beds, reduce the workload of medical staff, and what′s more, it is a safe, reliable method and worthy of promotion and application.

    [Key words] A piece of suture; Perineum; Continuously suture

    会阴切开术是阴道分娩时,防止会阴严重裂伤,减少会阴阻力以利于胎儿娩出的手术。随着人们健康意识及生活质量标准的提高,审美意识也在不断提高。会阴切口愈合的好坏,直接影响其生活质量及美观。本文中对200例Ⅱ度会阴裂伤及会阴侧切术后的产妇切口缝合进行了临床观察,现报道如下: 1 资料与方法

    1.1 一般资料

    选取2008年5月~2009年10月在江西省新余市第二医院经阴道足月分娩、Ⅱ度会阴裂伤及会阴侧切的产妇200例,将其随机分为观察组和对照组。两组在年龄、孕周、胎次、并发症及出血量等方面比较无显著性差异(P>0.05)。

    1.2 麻醉方法

    均采用阴部神经阻滞麻醉。用9-0腰椎穿刺针,1%利多卡因10 ml于坐骨棘与肛门之间中点皮肤做一小丘,再水平进针,左手示、中两指伸入阴道触摸坐骨棘作引导,因阴部神经绕坐骨棘而分布于会阴,针头达坐骨棘周围回抽无回血时注入1%利多卡因7~8 ml,然后边退出针头边回抽无血液边推药,将药液全部推完。要注意避免药物注入血管内。对会阴裂伤者则在会阴缝合前行双侧会阴阻滞麻醉,对会阴侧切者则在侧切前行左侧会阴阻滞麻醉。

    1.3 缝合方法

    观察组缝合方法如下:采用上海金环医疗用品有限公司生产的金环牌带长44 mm、1/2弯曲度、10×28的圆针,2-0可吸收手术合成缝合线(长90 cm)一根,自阴道黏膜伤口顶端上0 ......

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