摘要目的 寻找一种适用于会阴伤口护理的有效方法,提高会阴伤口的甲级愈合率,减轻产妇痛苦.方法 选取2005年1-6月经阴道自然分娩有会阴伤口的产妇120例作为对照组,再选取2006年1-6月经阴道自然分娩有会阴伤口的产妇120例作为观察组.于产后伤口缝合完毕,对照组采用传统的碘伏擦洗法护理会阴伤口;观察组用碘伏擦洗后,再使用自制昆脂愈肤灵会阴护垫护理会阴伤口.观察2组产妇会阴伤口肿胀消退时间、疼痛程度、伤口愈合情况及拆线时间.结果 与对照组比较,观察组产后24 h会阴侧切伤口肿胀例数明显低于对照组;切口疼痛程度也低于对照组;伤口甲级愈合率显著高于对照组;伤口拆线时间早.结论 采用自制的昆脂愈肤灵会阴护垫护理效果优于传统的护理方法,能加速伤口肿胀消退,有效地缓解疼痛,明显地降低会阴伤口的感染率,促进伤口愈合,缩短拆线时间;且制作简单,使用方便,值得推广应用.

abstractsObjective To search an effective method for the attendance of perineum wound to en-hance the first healing rate of wounds and relieve the pain of puerperas. Methods 120 puerporas with perineum wounds after spontaneous delivery per vagina from January to June ,2005 were selected as the control group, and the observation group were composed of 120 paerperas with perineum wounds after spontaneous delivery per vagina from January to June, 2006. With the complete of wounds suture post par-tum, wounds were swabbed with iodophors only in the control group; in the observation group, after swab-bling with iodophors, wounds were attended with the KunZhiYuFuLing perineal pad for perineum wounds. The time of detumeseence, the degree of pain, the lust healing rate and the time of sutures out were com-pared between the two groups. Results Compared with the control group, during the 24 hours post par-tum, the number of wounds detumeseenee and the degree of pain in the observation group was beth signifi-cantly reduced. The first healing rate in the observation group was significantly increased than that in the control group. And compared with the control group, the time of suture out in the observation group was sig-nificantly shorter. Conclusions The method with the KunZhiYuFuLing perineal pad for perineum wounds has better effect than traditional methods. It can speed up detumescence, relieve pain effectively, cut down the wounds infection, promote the wounds bealing,,reduce the time of suture out; furthermore it is manufactured easily, used conveniently, and deserve to be generalized in clinic.