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目的探讨不同的会阴侧切伤口缝合方式的临床疗效。方法取符合条件的阴道分娩行会阴侧切的产妇680例随机分为传统组和观察组,各340例,传统组采用羊肠线间断或连续缝合会阴各层,丝线缝合会阴皮肤,4～5d拆线;观察组采用可吸收线连续缝合会阴各层,皮肤采用可吸收线皮内缝合,不拆线。结果观察组产后伤口甲级愈合97.6%、1级以下伤口疼痛78.5%、产后48h内活动56.5%,与传统组相比,差异均有统计学意义。结论会阴侧切采取可吸收合成线皮内连续缝合方式具有切口愈合好、住院时间短、疼痛程度轻等好处,是一种较理想的缝合方法,利于产妇休息和母乳喂哺,提高产后生活质量,值得推广。
Objective To investigate the clinical effect of different episiotomy sutures. Methods Six hundred and seventy-eight cases with congenital perineal vaginal delivery undergoing vaginal delivery were randomly divided into the traditional group and the observation group, with 340 cases in each group. The traditional group was interrupted by catgut or continuous suturing of perineum. Line; observation group using absorbable line continuous suture perineum layers, the skin absorbable intradermal suture, not stitches. Results Postpartum wound healing of grade A was 97.6% in the observation group, 78.5% of the wounds below grade 1 and 56.5% in 48 hours after delivery. Compared with the traditional group, the differences were statistically significant. CONCLUSIONS: The perineal resection is an ideal method of suturing, which is conducive to maternal respite and breastfeeding, and improves the quality of postpartum life. Worth promoting.