Nam H K, Park Y S
Kanho Hakhoe Chi. 1991 Apr;21(1):27-40. doi: 10.4040/jnas.1991.21.1.27.
Perineal discomfort from episiotomy continues to be a problem for many postpartum women. The purposes of this study were to compare the effect of ice bag and heat lamp for the relief of perineal discomfort and to identify the sustaining time of each effect. Forty women took ice bag and heat lamp with random assignment of initial therapy. Women rated the degree of perineal discomfort before and after each therapy and at half-hour, tow-hour and four-hour intervals after each therapy. A discomfort scale, 18cm graphic rating scale, was used. The results of the study were as follows: 1. The ice bag group showed significantly lower discomfort score than the heat lamp group at the half-hour and two-hour intervals after therapy. 2. The ice bag group showed significantly lower discomfort score for 4hrs after than before therapy, but the heat lamp group did not show significantly lower discomfort score. 3. Neither the type of episiotomy nor the previous experience of heat therapy influenced on the effect of ice bag relieving the perineal discomfort. Therefore ice bag was significantly more effective in relieving perineal discomfort than heat lamp. Subjective responses of patients who took both therapy were very favorable toward ice bag. I suggested that nurses should provide women with adequate information about the use of ice bag and encourage to apply ice bag instead of heat lamp after episiotomy in order to promote the relief of perineal discomfort and the healing of perineal wound.
会阴切开术引起的会阴不适仍是许多产后女性面临的问题。本研究的目的是比较冰袋和热灯缓解会阴不适的效果，并确定每种效果的持续时间。40名女性随机接受冰袋和热灯作为初始治疗。女性在每次治疗前后以及每次治疗后的半小时、两小时和四小时对会阴不适程度进行评分。使用了一个18厘米的图形评分量表来衡量不适程度。研究结果如下：1. 治疗后半小时和两小时时，冰袋组的不适评分显著低于热灯组。2. 冰袋组治疗后4小时的不适评分显著低于治疗前，但热灯组的不适评分没有显著降低。3. 会阴切开术的类型和既往热疗经历均未影响冰袋缓解会阴不适的效果。因此，冰袋在缓解会阴不适方面比热灯显著更有效。接受两种治疗的患者对冰袋的主观反应非常满意。我建议护士应为女性提供有关冰袋使用的充分信息，并鼓励她们在会阴切开术后使用冰袋而非热灯，以促进会阴不适的缓解和会阴伤口的愈合。
