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目的探讨实施会阴切开术的顺产产妇出现会阴切口愈合不良的原因及护理对策。方法回顾性分析我科2010年1月~2014年12月实施会阴切开术后出现会阴切口愈合不良产妇的临床资料,对切口愈合不良进行治疗和精心护理。结果全组33例会阴切口愈合不良产妇经积极清创处理和二次缝合后均安全度过炎症期,于术后5~7d拆线,均获得甲级愈合。结论会阴切口愈合不良增加了产妇的痛苦和经济负担,要采取有效及时的护理措施,加强健康宣教、避免阴道炎症、重视饮食护理、出院指导和随访观察,以减轻产妇痛苦和经济负担。
Objective To investigate the causes and nursing countermeasures of the poor healing of perineal incision in the primipara of perineal incision. Methods A retrospective analysis of our department from January 2010 to December 2014 after the implementation of episiotomy perineal incision malaria clinical data, poor healing of incision and meticulous care. Results All the 33 cases of perineal incision maladjusted maternal positive debridement treatment and secondary suture were safely through the inflammatory period, 5 to 7d postoperative stitches, were grade A healing. Conclusions The poor healing of perineal incision increases the pain and financial burden of the maternal. Effective and timely nursing interventions should be taken to improve health education and avoid vaginal inflammation, pay attention to dietary nursing, discharge guidance and follow-up observation so as to reduce maternal pain and financial burden.