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目的:评价红霉素软膏局部用药与远红外线照射对预防产妇会阴切口感染的临床疗效。方法:选取2015年1月—2016年3月于医院治疗的产妇会阴切口患者180例,将其随机分为对照组和观察组,每组90例;对照组患者给予常规会阴消毒、侧切、缝合与术后护理治疗,观察组患者在对照组处理的基础上,将红霉素软膏适量涂抹于会阴侧切切口和周围皮肤处,并在分娩24 h后进行远红外线照射治疗;比较两组患者治疗后的切口感染率、切口疼痛程度和切口愈合程度。结果:治疗后观察组患者的切口感染率为1.11%明显低于对照组为8.89%(P<0.05),切口疼痛程度重度为4.44%明显低于对照组为33.33%(P<0.05),切口愈合程度0级为42.22%明显高于对照组为14.44%(P<0.05)。结论:红霉素软膏局部用药与远红外线照射对预防产妇会阴侧切切口感染、切口疼痛程度低于常规处理,且切口愈合程度好。
Objective: To evaluate the clinical efficacy of topical application of erythromycin ointment and far-infrared radiation to prevent infection of perineal incision in pregnant women. Methods: One hundred and eighty patients with maternal perineal incision who were treated in hospital from January 2015 to March 2016 were selected and randomly divided into control group and observation group with 90 cases in each group. Patients in control group were given routine perineal disinfection, lateral incision and suture And postoperative nursing treatment, the observation group patients in the control group based on the amount of erythromycin ointment applied to the side of the perineal incision and the surrounding skin, and far infrared irradiation 24 h after delivery treatment; compared two groups of patients treated Post incision infection rate, incision pain and incision healing. Results: After treatment, the incision infection rate in observation group was 1.11%, which was significantly lower than that in control group (8.89%, 4.44%, 33.33%, P <0.05) Grade 0 of healing was 42.22%, which was significantly higher than that of the control group (14.44%, P <0.05). Conclusion: The topical application of erythromycin ointment and far-infrared radiation to prevent maternal episiotomy incision infection, the incision pain degree is lower than the conventional treatment, and the wound healing degree is good.