Chanrachakul B, Hamontri S, Herabutya Y
Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, Ramathibodi Hospital, Mahidol University, Rama VI Road, Bangkok 10400, Thailand.
Eur J Obstet Gynecol Reprod Biol. 2002 Feb 10;101(1):31-5. doi: 10.1016/s0301-2115(01)00503-6.
To compare the intensity of postcesarean pain between closure and nonclosure of peritoneum in the women with a midline incision and one previous cesarean section.
The setting was an obstetrics unit of a university teaching hospital. A double-blind randomized trial was performed on 60 pregnant women with a midline incision and one previous cesarean section who underwent elective repeated cesarean section. Thirty women each were allocated to the "closure" group and the "nonclosure" group. The principal outcome measure was the postcesarean pain assessed by visual analog scale (VAS).
There was no difference in postoperative pain for closure and nonclosure of peritoneum groups in repeated cesarean patients; while resting (P=0.8), while moving in bed (P=0.94), and while walking (P=0.52). The use of opiate (P=0.27) and oral analgesics (P=0.37) also suggested no difference. No differences were found in duration of the operation, incidence of postoperative complications, time of returned bowel function, and length of the hospital stay.
The VAS showed no difference in postcesarean pain between closure and nonclosure of peritoneum.
比较中线切口且既往有一次剖宫产史的女性剖宫产术后腹膜缝合与不缝合时疼痛的强度。
研究地点为一所大学教学医院的产科病房。对60例有中线切口且既往有一次剖宫产史、行择期再次剖宫产的孕妇进行了双盲随机试验。每组30名女性，分别被分配到“缝合”组和“不缝合”组。主要结局指标是采用视觉模拟评分法（VAS）评估的剖宫产术后疼痛。
再次剖宫产患者中，腹膜缝合组和不缝合组术后疼痛无差异；休息时（P = 0.8）、在床上活动时（P = 0.94）以及行走时（P = 0.52）均无差异。阿片类药物的使用（P = 0.27）和口服镇痛药的使用（P = 0.37）也无差异。手术时间、术后并发症发生率、肠道功能恢复时间及住院时间均无差异。
VAS显示剖宫产术后腹膜缝合与不缝合时疼痛无差异。
