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【目的】探讨应用不同浓度碘伏冲洗消毒加综合措施处理会阴侧切伤口的临床效果。【方法】2005年3月至2006年3月行会阴侧切术病例260例为观察组,产妇分娩时在常规冲洗消毒的基础上,切开缝合前后加用5%碘伏局部消毒,切口以0.5%碘伏冲洗,缝合后喷洒济安舒能,24 h后加以特定电磁波谱治疗器局部理疗;以2004年3月至2005年2月行会阴侧切术行常规护理措施的250例为对照组,观察比较两组切口肿胀疼痛程度、切口愈合情况。【结果】与对照组比较,观察组切口肿胀、疼痛程度均较对照组低(P<0.01);切口愈合显著优于对照组(P<0.01)。【结论】不同浓度碘伏冲洗消毒加综合措施可减轻会阴侧切伤口肿胀和疼痛程度,促进伤口愈合,减少伤口并发症,利于产妇康复。
【Objective】 To investigate the clinical effects of different dosages of iodophor disinfection combined with comprehensive measures on perineal lateral incision wounds. 【Methods】 From March 2005 to March 2006, 260 cases of collateral episiotomy were selected as the observation group. On the basis of routine flushing and disinfection during delivery, the cervix was disinfected with 5% iodophor before and after incision and suture. The incision was performed at 0.5 % Iodophor irrigation, soothing after spraying Ji’an Shu able, 24 h after the treatment of specific electromagnetic spectrum therapy local; to March 2004 to February 2005 line of collateral episiotomy routine nursing care for the control group of 250 cases, Observed and compared the degree of incision swelling pain, incision healing. 【Results】 Compared with the control group, the incision swelling and pain degree in the observation group were lower than those in the control group (P <0.01). Incision healing was significantly better than the control group (P <0.01). 【Conclusion】 Different concentrations of iodophor disinfection and disinfection combined with comprehensive measures can reduce the side of the episiotomy wound swelling and pain, promote wound healing, reduce wound complications, conducive to maternal rehabilitation.