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目的:比较30°和45°两种不同角度的会阴侧切对产后切口疼痛、肿胀及愈合等情况。方法:将600例初产妇采用随机数字表法分为观察组(30°会阴侧切)和对照组(45°会阴侧切),各300例,对产妇术中切口出血量、缝合时间、切口疼痛、切口肿胀、产后尿潴留发生率及产妇舒适度等进行比较。结果:观察组产妇的术中切口出血量、缝合时间、切口疼痛、切口肿胀、产后尿潴留发生率及产妇舒适度等方面均明显优于对照组。结论:对产妇采用30°会阴侧切,优点多,临床值得推广,同时要提高助产技术及缝合水平。
Objective: To compare the pain, swelling and healing of postpartum incision at two different angles of 30 ° and 45 °. Methods: 600 primiparous women were randomly divided into observation group (30 ° episiotomy) and control group (45 ° episiotomy), and 300 cases in each group were randomly divided into three groups: the amount of incision bleeding, suture time, incision pain, Incision swelling, the incidence of postpartum urinary retention and maternal comfort were compared. Results: The observation group maternal intraoperative incision bleeding volume, suture time, incision pain, incision swelling, the incidence of postpartum urinary retention and maternal comfort were significantly better than the control group. Conclusion: The use of 30 ° perineal lateralization of maternal advantages, more clinical worth promoting, while improving midwifery techniques and suture levels.