负压振动机械刺激技术治疗女性会阴部瘢痕的临床研究

Clinical study of negative pressure vibration mechanical stimulation on female lateral episiotomy scar

目的:分析负压振动机械疗法对会阴部瘢痕的治疗效果,为负压振动机械疗法治疗产妇会阴侧切瘢痕提供临床依据。方法:选取2018年6月~2018年8月在我院产后康复中心就诊的60例会阴侧切皮肤瘢痕患者为研究对象,按随机数字表法分为治疗组和对照组,各30例,治疗组采用负压振动理疗仪进行治疗,对照组仅采用常规护理而不采取任何瘢痕治疗手段,比较治疗组和对照组治疗前后的瘢痕修复效果。结果:治疗后1个月(产后2.5个月)时,治疗组产妇会阴侧切瘢痕VSS和VAS评分皆显著低于对照组,在治疗后3个月(产后4.5个月)时皆达极显著差异水平;产妇会阴侧切瘢痕的修复受年龄和时间的影响明显。结论:负压振动机械刺激技术对产妇产后会阴瘢痕修复疗效显著,是一种无创、高效、安全的修复产妇会阴侧切瘢痕的治疗方法。

Objective To analyze the therapeutic effect of negative pressure vibration mechanical therapy on lateral episiotomy scar,so as to provide the clinical basis for the treatment of lateral episiotomy scar by negative pressure vibration mechanical therapy.Methods 60 patients with lateral episiotomy scar were selected,who were treated in our hospital’s postpartum rehabilitation center from June to August 2018.They were divided into the treatment group and the control group by the random number table method,each group had 30 cases.The treatment group was treated with negative pressure vibration mechanical therapy,while the control group only used regular nursing instead of any scar treatment method.Scar repair effect before and after treatment were compared between the two groups.Results The scores of VSS and VAS in the treatment group at the end of treatment(11 weeks after delivery)were significantly lower than those in the control group.At the end of 2 months after treatment(19 weeks after delivery),the differences between the two groups were extremely significant.The repair of lateral episiotomy scar was significantly affected by age and time.Conclusion The negative pressure vibration mechanical stimulation technology,which is a non-invasive,efficient and safe method,has a significant effect on the repair of lateral episiotomy scar.