双腔尿管外套扎安全套自制水囊在会阴缝合技术中的应用

Application of double urine tube coated with condom-made water bag in perineal suture technique

目的探讨双腔尿管外套扎安全套自制水囊在会阴缝合技术中的应用价值。方法选取2012年3月至2014年5月在我院产科经阴道分娩的产妇84例,随机分为观察组(在常规缝合的基础上运用双腔尿管外套扎安全套自制水囊)和对照组(采用常规会阴缝合术),观察两组患者的手术情况、术后疼痛以及住院时间等指标。结果观察组术中平均出血量、缝合时间、平均坐起哺乳时间和平均住院时间分别为(8.34±2.16)ml、(6.22±1.64)min、(1.21±0.35)d和(2.64±0.77)d,均远低于对照组的(14.17±3.47)ml、(18.09±2.13)min、(3.19±0.67)d和(4.32±0.81)d,差异均有统计学意义(P<0.05);观察组伤口愈合程度优于对照组(P<0.05);观察组伤口平均疼痛评分为(3.72±0.95)分,疼痛平均时长为(1.84±0.67)d,均远低于对照组的(6.88±0.73)分和(3.87±0.24)d,差异均有统计学意义(P<0.05)。结论双腔尿管外套扎安全套自制水囊在会阴缝合技术中能够减少产妇疼痛和术中出血量,提高缝合速度,术后伤口愈合好,更有利于术后母乳喂养。

Objective To investigate the application value of double urine tube coated with condom-made water bag in perineal suture technique. Methods Eighty-four puerperants of vaginal delivery in our hospital from March 2012 to May 2014 were selected and randomly divided into the observation group （applied double urine tube coated with condom-made water bag based on conventional suture） and control group （applied conventional perineal suture）. Surgery situation, postoperative pain, length of hospital stay and other indicators were observed. Results In the observation group, the average amount of bleeding during operation, the sucre time, average up lactation time, and average length of hospital stay were （8.34±2.16） ml, （6.22±1.64） min, （1.21±0.35） d and （2.64±0.77） d, respectively, which were all significantly less than those of the control group （P〈0.05）, （14.17±3.47） ml, （18.09±2.13） min, （3.19±0.67） d and （4.32±0.81） d, respectively. Wound healing in the observation group was significantly better than that in the control group （P〈0.05）. In the observation group, the average pain score of wound and the average length of pain time were （3.72±0.95） and （1.84±0.67） d, significantly less than （6,88±0.73） and （3.87±0.24） d in the control group （P〈0.05）. Conclusion In perineal suture, double urine tube coated with condom-made water bag can reduce maternal pain and intraoperative bleeding volume, and improve the speed of suture and postoperative wound healing, which is more conducive to postoperative breast feeding.