CAJ | 학술논문

目的：探究会阴伤口愈合不良的原因及护理方法。方法35例不在本院生产的会阴伤口愈合不良患者设为对照组，回顾其临床资料，分析愈合不良原因。同时，选取同期在本院生产的35例产妇，设为观察组，给予临床护理，比较两组患者状况。结果原有外阴阴道炎症、缝合技术和无菌操作不严格因素，产后出血、胎膜早破及术后护理不到位是会阴伤口愈合不良的主要原因。观察组患者伤口愈合时间、伤口感染例数明显少于对照组患者，健康知识掌握情况明显优于对照组(P<0.05)。结论多种因素引起产妇会阴伤口愈合不良，加强孕前做好产前卫生宣教，接产时加强无菌观念和提高缝合技术，产后加强会阴护理，可减少伤口感染发生率，促进伤口愈合。
목적：탐구회음상구유합불량적원인급호리방법。방법35례불재본원생산적회음상구유합불량환자설위대조조，회고기림상자료，분석유합불량원인。동시，선취동기재본원생산적35례산부，설위관찰조，급여림상호리，비교량조환자상황。결과원유외음음도염증、봉합기술화무균조작불엄격인소，산후출혈、태막조파급술후호리불도위시회음상구유합불량적주요원인。관찰조환자상구유합시간、상구감염례수명현소우대조조환자，건강지식장악정황명현우우대조조(P<0.05)。결론다충인소인기산부회음상구유합불량，가강잉전주호산전위생선교，접산시가강무균관념화제고봉합기술，산후가강회음호리，가감소상구감염발생솔，촉진상구유합。
Objective To investigate causes and nursing methods of perineal wound undesirable healing. Methods There were 35 perineal wound undesirable healing patients not treated in our hospital as control group, and their clinical data were retrospectively analyzed. Another 35 cases treated in our hospital were selected as observation group, and they received clinical nursing. Conditions of the two groups were compared. Results Main causes of perineal wound undesirable healing included original vulvovaginitis, nonstrict suture and aseptic technique, postpartum hemorrhage, premature rupture of membranes, and inadequate postoperative nursing. The observation group had much less healing time and infection cases, and better awareness of health knowledge than the control group (P<0.05). Conclusion Perineal wound undesirable healing can be induced by multiple causes. It is necessary to enhance progestational and antenatal health education, aseptic suture technique, postpartum perineal nursing. This method can reduce incidence of wound infection and accelerate wound healing.