摘要
目的:探讨会阴伤口丝线间断全层褥式缝合法与皮内缝合法的临床效果。方法:将我院2008年1～6月生产的520例产妇,按生产时间先后随机分组,单号为对照组,双号为观察组,对照组采用快薇乔行皮内缝合;观察组采用肌层、皮下、皮肤行丝线间断全层褥式缝合,会阴常规护理方法相同。观察组5整日后拆线。通过访视,观察两组缝合方法的会阴伤口产后42天是否有硬结、疼痛、愈合情况、母乳喂养情况。结果:会阴伤口采用全层间断褥式缝合法,硬结、疼痛情况少。伤口愈合好,母乳喂养成功率高。P<0.01差异有显著性。结论:会阴伤口采用全层间断褥式缝合法优于皮内缝合。
Objective ：To study the clinical effects of two different perineum sutures-silk thread interrupted mattress suture and subeufieular suture. Methods：520 parturitent women patients, from January to June in 2008, were randomly divided into two groups according to the delivery time.Those on odd dates were in control group,the others were in observation group. The women in the first group were subeufieularly sutured with Vicryl Rapide, the women in the other group were sutured through museularis, subcutaneous stratum,silk thread and interrupted mattress suture, perineum routine nursing was the same.The sutures of the observation group were removed on 5 d after surgery. Through visiting and observation, to observe if the women had any seleroma, pain.Investigating their healing and breast feeding condition an 42 d after surgery.Results：The observation group had less scleroma,suffered less pain, the wound healed better and enjoyed higher breast feeding rate（P〈0.01）.There was much significance in statistics. Conclusion：Penetrating interrupted mattress suture is better than irttradermie suture, which can be put into clinical practice.
出处
《现代医药卫生》
2009年第21期3215-3217,共3页
Journal of Modern Medicine & Health
关键词
丝线
间断
全层褥式缝合
拆线
Silk thread
Interrupted
Penetrating mattress suture
Remove sutures
