CAJ | 학술논문

目的：探讨双腔尿管外套扎安全套自制水囊在会阴缝合技术中的应用价值。方法选取2012年3月至2014年5月在我院产科经阴道分娩的产妇84例，随机分为观察组(在常规缝合的基础上运用双腔尿管外套扎安全套自制水囊)和对照组(采用常规会阴缝合术)，观察两组患者的手术情况、术后疼痛以及住院时间等指标。结果观察组术中平均出血量、缝合时间、平均坐起哺乳时间和平均住院时间分别为(8.34±2.16) ml、(6.22±1.64) min、(1.21±0.35) d和(2.64±0.77) d，均远低于对照组的(14.17±3.47) ml、(18.09±2.13) min、(3.19±0.67) d和(4.32±0.81) d，差异均有统计学意义(P<0.05)；观察组伤口愈合程度优于对照组(P<0.05)；观察组伤口平均疼痛评分为(3.72±0.95)分，疼痛平均时长为(1.84±0.67) d，均远低于对照组的(6.88±0.73)分和(3.87±0.24) d，差异均有统计学意义(P<0.05)。结论双腔尿管外套扎安全套自制水囊在会阴缝合技术中能够减少产妇疼痛和术中出血量，提高缝合速度，术后伤口愈合好，更有利于术后母乳喂养。
목적：탐토쌍강뇨관외투찰안전투자제수낭재회음봉합기술중적응용개치。방법선취2012년3월지2014년5월재아원산과경음도분면적산부84례，수궤분위관찰조(재상규봉합적기출상운용쌍강뇨관외투찰안전투자제수낭)화대조조(채용상규회음봉합술)，관찰량조환자적수술정황、술후동통이급주원시간등지표。결과관찰조술중평균출혈량、봉합시간、평균좌기포유시간화평균주원시간분별위(8.34±2.16) ml、(6.22±1.64) min、(1.21±0.35) d화(2.64±0.77) d，균원저우대조조적(14.17±3.47) ml、(18.09±2.13) min、(3.19±0.67) d화(4.32±0.81) d，차이균유통계학의의(P<0.05)；관찰조상구유합정도우우대조조(P<0.05)；관찰조상구평균동통평분위(3.72±0.95)분，동통평균시장위(1.84±0.67) d，균원저우대조조적(6.88±0.73)분화(3.87±0.24) d，차이균유통계학의의(P<0.05)。결론쌍강뇨관외투찰안전투자제수낭재회음봉합기술중능구감소산부동통화술중출혈량，제고봉합속도，술후상구유합호，경유리우술후모유위양。
Objective To investigate the application value of double urine tube coated with condom-made water bag in perineal suture technique. Methods Eighty-four puerperants of vaginal delivery in our hospital from March 2012 to May 2014 were selected and randomly divided into the observation group (applied double urine tube coated with condom-made water bag based on conventional suture) and control group (applied conventional perineal suture). Surgery situation, postoperative pain, length of hospital stay and other indicators were observed. Results In the observation group, the average amount of bleeding during operation, the suture time, average up lactation time, and average length of hospital stay were (8.34±2.16) ml, (6.22±1.64) min, (1.21±0.35) d and (2.64±0.77) d, respective-ly, which were all significantly less than those of the control group (P<0.05), (14.17 ± 3.47) ml, (18.09 ± 2.13) min, (3.19 ± 0.67) d and (4.32 ± 0.81) d, respectively. Wound healing in the observation group was significantly better than that in the control group (P<0.05). In the observation group, the average pain score of wound and the average length of pain time were (3.72±0.95) and (1.84±0.67) d, significantly less than (6.88±0.73) and (3.87±0.24) d in the control group (P<0.05). Conclusion In perineal suture, double urine tube coated with condom-made water bag can reduce maternal pain and intraoperative bleeding volume, and improve the speed of suture and postoperative wound healing, which is more conducive to postoperative breast feeding.