温水坐浴对会阴侧切伤口影响的临床观察

Effect of warm water sitz bath on wound healing after lateral episiotomy

  • 摘要: 目的 观察温水坐浴对侧切伤口愈合的影响。方法 行会阴侧切分娩的产妇共110例,根据坐浴执行情况分为研究组42例(坐浴≥6次)和对照组38例(未坐浴)。产后10d对所有产妇进行访视,20d时进行电话随访。记录产妇自然状态下(切口无压力时)疼痛消失的时间、产妇坐位时(切口有压力时)疼痛消失的时间、切口有无硬结。结果 研究组产妇自然状态下切口疼痛消失的时间与对照组差异无统计学意义(P>0.05),但坐位时切口疼痛消失的时间明显少于对照组(P<0.01),切口硬结发生率低于对照组(P<0.05)。结论 温水坐浴有助于减轻会阴侧切伤口的不适感。

     

    Abstract: Objective To observe the effect of warm water sitz bath on wound healing after lateral episiotomy.Methods One hundred and ten primiparae undergoing lateral episiotomy were divided into study group(n=42) which had warm water sitz bath ≥6 times and control group(n=38) which had no warm water sitz bath.All the primiparae were visited 10 days after delivery and followed up by phone 20 days after delivery.The time of wound pain disappearance at natural and sitting positions and formation of scleroma was recorded.Results No statistical difference was found in the time of wound pain disappearance at natural position between the study and control groups(P>0.05).However,the time of wound pain disappearance was statistically shorter and the incidence of scleroma at sitting position was higher in study group than in control group(P<0.05).Conclusion Warm water sitz bath contributes to the relief of wound discomfort after lateral episiotomy.

     

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