双腔尿管外套扎安全套自制水囊在深度会阴伤口缝合中的应用

摘要

Objective To analyze and discuss the effect of double lumen catheter jacket with a condom self -made water sac in the application of deep perineum wound closure .Methods 100 cases of maternal with vaginal delivery from February 2012 to February 2015 in our hospital were selected ,they were randomly divided into control group (n=50) ,and observa‐tion group (n=50) by digital table method .The patients were given conventional suture for perineum wound closure in the control group .The observation group was used double lumen catheter jacket with a condom self -made water sac in the ap‐plication of deep perineum wound closure .Observed and analyzed the operation and postoperative pain of patients of the two groups were .Results The amount of blood loss ,the time of suture ,the time of delivery ,the time of hospitalization and the hospitalization time of the observation group were lower than those of the control group (P<0 .05) .The wound healing rate of the maternal of the control group was 94% ,lower than that of the observation group (P<0 .05) .The degree of postoper‐ative wound pain and the time of the observation group were lower than those of the control group (P<0 .05) .Conclusion In conventional perineum suture techniques ,applying Double lumen catheter jacket with a condom self -made water sac in the application of deep perineum wound can reduce the pain ,reduce the amount of bleeding ,and increase the speed of wound healing ,and increase the rate of breast feeding ,promote the healthy growth of infants .It is worthy of clinical application .%目的：探讨双腔尿管外套扎安全套自制水囊，在深度会阴伤口缝合中的应用效果。方法选取我科2012年2月～2015年2月收治的100例经阴道分娩产妇，按随机数字表法分为对照组和观察组，各50例。对照组给予常规缝合术进行会阴伤口缝合。观察组采用双腔尿管外套扎安全套自制水囊进行会阴伤口缝合。并对两组术中出血量、缝合时间、术后疼痛时间及程度、产后哺乳时间、伤口愈合情况、住院时间进行比较。结果观察组术中出血量、缝合时间、产后哺乳时间、住院时间较对照组低（P＜0．05）；对照组伤口愈合良好率为94％，较观察组100％低（P＜0．05）；观察组术后伤口疼痛程度及时间低于对照组（P＜0．05）。结论在常规会阴缝合技术中，应用双腔尿管外套扎安全套自制水囊，有利于降低产妇疼痛程度，减少术中出血量，提高缝合速度，进而加快术后伤口愈合，提高母乳喂养率，促进婴儿健康成长。