Semra Yuksel, Aylin Ustun, Emre Kar, Asya Ozcan, Nihal Callioglu
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引用次数: 0
摘要
我们于2022年3月至8月在一家三级中心进行了一项随机临床试验。我们招募了年龄在18-45岁需要外阴切开术的初产妇女。会阴切开术的皮肤闭合采用三种缝合技术:床垫、初级中断和皮下缝合。采用视觉模拟评分(VAS)和产后第1天和第15天的红肿、水肿、瘀斑、分泌物和近似(REEDA)评分来评估愈合和疼痛。与床垫组相比,中断组和皮下组在产后第一天的VAS评分显著降低(p p = 0.044)。在产后第15天,皮下注射组的REEDA评分低于其他两组(p = 0.013)。在产后第15天,皮下连续缝合组的愈合优于初次间断缝合组和床垫缝合组。
The impact of different skin Suture methods in episiotomy repair on healing and pain: A randomized clinical trial.
We conducted a randomized clinical trial at a tertiary center between March and August 2022. We enrolled primiparous women aged 18-45 years requiring an episiotomy. Skin closure of the episiotomy was performed using three suture techniques: mattress, primary interrupted, and subcutaneous. Evaluation of healing and pain was carried out using Visual Analog Scale (VAS) and Redness, Edema, Ecchymosis, Discharge, and Approximation (REEDA) scores on the first and fifteenth postpartum days. The interrupted and subcutaneous groups showed significantly lower VAS scores on the first postpartum day compared to the mattress group (p < 0.001). The duration of mattress suturing was longer than that of interrupted or subcutaneous suturing (p = 0.044). On the fifteenth postpartum day, the subcutaneous group demonstrated lower REEDA scores compared to the other groups (p = 0.013). The subcutaneous continuous suturing group exhibited superior healing compared to the primary interrupted and mattress groups on the fifteenth postpartum day.
期刊介绍:
Health Care for Women International is a critically acclaimed, international publication that provides a unique interdisciplinary approach to health care and related topics that concern women around the globe. Published twelve times a year, Health Care for Women International includes the newest research, theories, and issues in the fields of public health, social science, health care practice, and health care policy. Scholars and practitioners address topics such as cultural differences, alternative lifestyles, domestic violence, public health issues associated with the aging of the population, maternal morbidity and mortality, infectious diseases, and a host of other gender-based ethical issues. The editor also encourages discussion topics, inviting readers to comment on articles that focus on specific aspects of health issue for women.