钝头缝合针在阴道分娩时撕裂伤和会阴切开术修复中的应用。
Blunt suture needle use in laceration and episiotomy repair at vaginal delivery.
作者信息
Mornar Sara J, Perlow Jordan H
机构信息
Department of Obstetrics and Gynecology, Banner Good Samaritan Medical Center, Phoenix, AZ, USA.
出版信息
Am J Obstet Gynecol. 2008 May;198(5):e14-5. doi: 10.1016/j.ajog.2007.09.051. Epub 2008 Feb 21.
OBJECTIVE
By surveying obstetricians regarding the use of blunt suture needles for laceration and episiotomy repair, the purpose of this study was to determine whether blunt suture needles represent a safe and effective alternative to sharp needles.
STUDY DESIGN
Blunt suture needles were made available at our institution for repairs at vaginal delivery. Participating physicians indicated their personal history of needlestick injuries and rated the blunt suture needle after completing the repair. Categorical variables were analyzed using Fisher's exact test and a 2-tailed P < .05 was considered significant.
RESULTS
Attending and resident physicians completed 80 surveys, and 83% reported previous needlestick injuries. Blunt suture needles were rated as excellent or good by 92.5% (95% confidence interval 84.6 to 96.5%). No needlestick injuries occurred.
CONCLUSION
In an effort to reduce needlestick injuries, the use of blunt suture needles is safe and effective for repairs at vaginal delivery.
目的
通过就钝头缝合针用于裂伤和会阴切开术修复的情况对产科医生进行调查，本研究旨在确定钝头缝合针是否是锐针的一种安全有效的替代物。
研究设计
钝头缝合针在我们机构用于阴道分娩修复。参与的医生表明其针刺伤个人史，并在完成修复后对钝头缝合针进行评分。分类变量采用Fisher精确检验进行分析，双侧P<0.05被认为具有统计学意义。
结果
主治医生和住院医生完成了80份调查问卷，83%报告曾有针刺伤。92.5%（95%置信区间84.6%至96.5%）的人将钝头缝合针评为优秀或良好。未发生针刺伤。
结论
为减少针刺伤，钝头缝合针用于阴道分娩修复是安全有效的。
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