自制会阴冷敷垫治疗产后会阴水肿的时效观察

Clinical Observation on Time-Effectiveness for Self-made Cold Perineal Pad on Postpartum Perineal Edema

目的:观察自制会阴冷敷垫不同时间治疗产后会阴水肿的疗效。方法:将200例自然分娩行会阴侧切的初产妇随机分为冷敷垫组与对照组各100例。对照组为常规会阴消毒,冷敷垫组除常规会阴消毒外使用自制会阴冷敷垫外敷切口。比较两组产妇产后12 h、24 h、48 h、72 h会阴水肿疗效情况。结果:冷敷垫组会阴水肿和疼痛改善明显优于对照组,两组有显著差异,并且产后72 h内2组产妇会阴水肿疗效等级与治疗时间存在线性相关关系,均有统计学意义(P<0.001)。结论:产后会阴水肿疗效等级随着治疗时间的延长而有显著改善趋势,采用自制会阴冷敷垫外敷疗效优于对照组。

Objective：To observe the effectiveness for a given period of time of the self - made cold perineal pad on prevention and treatment of postpartum perineal edema. Methods：200 primiparas of spontaneous delivery and perineal lateralis were randomly divided into the cold - pad group（ n = 100）and the control groups （n = 100 ）. The control group was treated with a routine perineal disinfection, and the cold - pad group was threaded by the self - made cold perineal pad after postpartum on incision in addition to routine perineal disinfection. The perineal edema, pain after postpartum 12 h, 24 h, 48 h, 72 h of two groups were compared. Results ： The improvement of perineal edema, pain in the cold - pad group was better than that of the control group, and there was a significant linear correlation relationship between the effi- cacy levels and duration of treatment（ P 〈 0.01 ）. Conclusion：It shows a tendency to improve the perineal swelling with the time of treatment, and the efficacy of the cold - pad group is better than that of the control group.