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会阴切开术/会阴裂伤后冷热刺激对会阴的影响。

Effects of heat and cold on the perineum after episiotomy/laceration.

作者信息

Hill P D

机构信息

University of Illinois, College of Nursing, Chicago.

出版信息

J Obstet Gynecol Neonatal Nurs. 1989 Mar-Apr;18(2):124-9. doi: 10.1111/j.1552-6909.1989.tb00475.x.

DOI:10.1111/j.1552-6909.1989.tb00475.x
PMID:2709180
Abstract

The Redness Edema Ecchymosis Discharge Approximation (REEDA) tool, devised to evaluate postpartum healing of the perineum following an episiotomy/laceration, was used to evaluate the effects of heat and cold on the perineum during the first 24 hours after delivery. Ninety patients were randomly assigned to one of three treatment groups. Treatment consisted of 30 subjects applying a warm perineal pack, 30 applying a cold perineal pack, and 30 taking a warm sitz bath. Analysis of variance indicated no difference in the REEDA score before or two hours after treatment. A Pearson r correlation indicated the REEDA score was associated with a laceration and not with infant weight. Although these findings do not support assumptions from the literature, this study provides baseline data and trends for future study.

摘要

为评估会阴切开术/撕裂伤后会阴的产后愈合情况而设计的发红、水肿、瘀斑、分泌物、对合情况(REEDA)工具,被用于评估分娩后最初24小时内热疗和冷疗对会阴的影响。90名患者被随机分配到三个治疗组之一。治疗方法包括30名受试者使用温热会阴垫,30名使用冷敷会阴垫,30名进行温坐浴。方差分析表明治疗前和治疗后两小时的REEDA评分没有差异。Pearson相关分析表明,REEDA评分与撕裂伤有关,而与婴儿体重无关。尽管这些发现不支持文献中的假设,但本研究为未来的研究提供了基线数据和趋势。

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引用本文的文献

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Cureus. 2022 Nov 17;14(11):e31620. doi: 10.7759/cureus.31620. eCollection 2022 Nov.
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Local cooling for relieving pain from perineal trauma sustained during childbirth.
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Cochrane Database Syst Rev. 2020 Oct 9;10(10):CD006304. doi: 10.1002/14651858.CD006304.pub4.
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