CAJ | 학술논문

目的：分析比较初产妇正常分娩会阴侧切与自然撕裂的创口康复情况，探讨初产妇会阴侧切的科学性。方法选取干预会阴侧切前后2个时期的444例初产妇为研究对象，分为侧切组210例、未侧切组234例，比较2组产妇的出血量、裂伤程度、疼痛程度、愈合情况等创口康复指标。结果2组产妇出院创口愈合情况比较，差异无统计学意义（χ2＝0．4743，P ＞0．05）；侧切组创口裂伤程度较自然撕裂创口严重，差异有统计学意义（z ＝－19．760，P ＜0．01）；侧切组创口出血量更多，差异有统计学意义（t ＝4．4082，P＜0．01）；产后第1天、第2天侧切组创口疼痛评分更高，差异有统计学意义（第1天 z ＝－8．971，P ＜0．01；第2天 z ＝－9．787，P ＜0．01）。结论会阴侧切较自然撕裂在创口康复上并无明显优势，其临床实用性有待进一步探讨。
목적：분석비교초산부정상분면회음측절여자연시렬적창구강복정황，탐토초산부회음측절적과학성。방법선취간예회음측절전후2개시기적444례초산부위연구대상，분위측절조210례、미측절조234례，비교2조산부적출혈량、렬상정도、동통정도、유합정황등창구강복지표。결과2조산부출원창구유합정황비교，차이무통계학의의（χ2＝0．4743，P ＞0．05）；측절조창구렬상정도교자연시렬창구엄중，차이유통계학의의（z ＝－19．760，P ＜0．01）；측절조창구출혈량경다，차이유통계학의의（t ＝4．4082，P＜0．01）；산후제1천、제2천측절조창구동통평분경고，차이유통계학의의（제1천 z ＝－8．971，P ＜0．01；제2천 z ＝－9．787，P ＜0．01）。결론회음측절교자연시렬재창구강복상병무명현우세，기림상실용성유대진일보탐토。
Objective To compare the wound healing conditions between the episiotomy and natural perineal laceration of primiparas and ex-plore the science of episiotomy.Methods 444 primiparas were divided into episiotomy and non -episiotomy group,the 210 primiparas in epi-siotomy group were treated by routine nursing care,the 234 primiparas in non -episiotomy group were controlled the rate of episiotomy to com-pare the wound healing indicators including blood loss,laceration and pain degree,the station of healing.Results There was no significant difference in the station of wound healing between the two groups(χ2 =0.4743,P >0.05),the laceration degree of episiotomy group was sig-nificantly serious than the non -episiotomy group (z =-19.760,P <0.01),the blood loss of episiotomy group was significantly more than the non -episiotomy group (t =4.4082,P <0.01).the pain degree of episiotomy group was significantly higher than the non -episiotomy group on the first and the second day after postpartum (the first day:z =-8.971,P <0.01,the second day :z =-9.787,P <0.01).Con-clusion Compared with the natural perineal laceration of primiparas,episiotomy had no obvious advantage,then the clinical value of episioto-my needs to be further studied.