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目的观察分析会阴切开缝合术产妇术后外用云南白药对切口愈合不良的影响。方法选取单胎首次分娩自然分娩并采用会阴切开缝合术治疗的产妇200例,随机分为两组。对照组在术后给予常规碘伏消毒处理,治疗组给予云南白药粉剂以生理盐水调制糊状后外涂创口表面。观察比较两组患者愈合程度、切口愈合不良发生情况、愈合时间及疼痛程度差异。结果治疗组患者甲级愈合率明显高于对照组(P<0.05)。对照组切口线头周围化脓、切口硬结、切口裂开不愈发生率高于治疗组(P<0.05)。治疗组会阴肿胀发生率低于对照组(P<0.05)。治疗组疼痛VAS评分低于对照组,愈合时间短于对照组(均P<0.05)。结论会阴切开缝合术后外用云南白药能够有效的提高切口甲级愈合率,缩短愈合时间,减少切口愈合不良情况的发生,降低患者的疼痛程度,值得临床推广应用。
Objective To observe and analyze the effect of topical Yunnanbaiyao on incision healing after perineal incision and suturing. Methods Totally 200 pregnant women with single child born spontaneous delivery and perineal incision suture were randomly divided into two groups. The control group was given routine iodophor disinfection after operation. The treatment group was treated with Yunnanbaiyao powder with saline and then the wound surface was coated with paste. The degree of healing, the incidence of incision healing, the healing time and the degree of pain were observed and compared between the two groups. Results The grade A healing rate in the treatment group was significantly higher than that in the control group (P <0.05). Control group incision thread around the suppuration, incision induration, incision unrupture rate was higher than the treatment group (P <0.05). The incidence of perineal swelling in the treatment group was lower than that in the control group (P <0.05). The pain score of VAS in treatment group was lower than that of control group, and the healing time was shorter than that of control group (all P <0.05). Conclusions After perineal incision and suture surgery, Yunnanbaiyao can effectively improve the incision Grade-A healing rate, shorten the healing time, reduce incision healing and reduce the degree of pain in patients, which is worthy of clinical application.