会阴正中切开、皮内包埋缝合术临床应用探究.docVIP

会阴正中切开、皮内包埋缝合术临床应用探究【摘要】 目的 引进会阴正中切开，皮内包埋缝合术，以推广应用。方法 选择2008年12月至2010年12月期间住院分娩的初产妇200例，随机分成2组，100例作为观察组，采用会阴正中切开、皮内包埋缝合术；100例作为对照组，采用侧斜45°会阴切开，皮内包埋缝合术。结果 观察组在切口疼痛程度、会阴水肿、切口出血量、切口愈合时间，住院天数，母乳喂养等方面均优于对照组。结论 会阴正中切开、皮内包埋缝合术疼痛明显减轻，会阴水肿少，出血量减少，切口痊愈快，住院天数缩短，母乳喂养成功率高，有较好的社会效益和经济效益。? 【关键词】 初产妇;会阴正中切开;皮内包埋缝合术;侧斜45°会阴切开;临床应用 ?? The application study of the use of the middlepeerineal incision and sture embedded within the skin XIAOG Hui?ling,GONG Jian?hong,ZHANG Rui. The Peoples Hospital of Jiangxi Province,Jiangxi 330006,China ? 【Abstract】 Objective To introduce andpromote the use of the middleperineal incision and suture embedded within the skin.Methods 200 primiparas who were in hospital to delivery during December 2008 to December 2010 were chosen andrandomly divided into 2 groups.100 peoples with middle perineal incision andsuture embedded within the skin,as the observation group,another 100 peopleusing perineal lateral incision by 45 degree, suture embedded within the skin,as a control group.Results Observation group is better than the control group in the incision pain, perineal edema, wound bleeding, wound recover,length of hospital stay and breastfeeding.Conclusion The middle perineal incision andsuture embedded within the skin has better social and economic benefits, it significantlyease the pain andperineal edema,reduce the amount of bleeding,speed up wound heal,cut down on the length ofhospital stay,and increasebreastfeeding rate.? 【Key words】 Primiparas;The middle perineal incision;Suture embedded;Incision by 45 degree;The clinical application ? 1 资料与方法? 1.1 一般资料 选择2008年12月至2010年12月在我科住院的初产妇、且无临床并发症，经产前检查，产道无异常，B超检查胎儿双顶径在95 cm以下，估计胎儿体重在3500 g以内的孕妇200例，随机分为2组，观察组：年龄在18~33岁之间，平均24.09岁，孕龄在259~290 d之间，平均277.58 d，新生儿体重在2600~3495 g之间，平均3141.90 g。对照组：年龄18~33岁之间，平均24.15岁，孕龄在260~292 d之间，平均277.90 d，新生儿体重在2550~3550 g之间，平均3144.02 g。2组产妇在年龄、孕周和新生儿体重等方面无显著差异。? 1.2 方法 观察组均采用会阴正中切开，常规消毒铺巾后，在产妇宫口开全，阴道充分扩张,胎头双顶着冠,胎头即将仰伸,会阴部变薄,皮肤发白,