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目的探讨影响会阴侧切术后切口裂开的影响因素和防治措施。方法回顾性分析我院5年来1870例会阴侧切患者的临床资料。结果切口Ⅱ/甲愈合1818例,裂开52例占2.78%。分析影响切口裂开的影响因素与缝合技术,产前会阴水肿,感染,合并基础疾病,危险因素的预防,个人与气候因素等有关。结论切口裂开与多项因素有关,应采取针对性预防措施:产前积极治疗基础疾病,纠正病理状态,加强宣教控制胎儿体重、预防各种分娩并发症,严格掌握会阴侧切指征,提高助产人员技术操作水平及产后伤口的护理、观察,及时处理问题伤口。
Objective To investigate the influencing factors and preventive measures of incision after incision of episiotomy. Methods The clinical data of 1870 cases of episiotomy in our hospital in 5 years were retrospectively analyzed. Results incision Ⅱ / a healed 1818 cases, split 52 cases accounted for 2.78%. Analysis of factors affecting incision cleft suture technique, prenatal perineal edema, infection, combined with underlying diseases, prevention of risk factors, personal and climatic factors. Conclusions incision rupture with a number of factors, targeted prevention measures should be taken: prenatal active treatment of underlying diseases, correct pathological state, strengthen the mission to control fetal weight, prevent complications of delivery, strictly grasp the signs of episiotomy, improve Production staff technical operation level and postpartum wound care, observation, timely treatment of the problem wound.