Hajhashemi Maryam, Ghanbari Zinat, Movahedi Minoo, Rafieian Mahmoud, Keivani Atefeh, Haghollahi Fedyeh
a Department of Obstetrics & Gynecology , Isfahan University of Medical Sciences , Isfahan , Iran.
b Department of Obstetrics & Gynecology , Vali-Asr Reproductive Health Research Center, Tehran University of Medical Sciences , Tehran , Iran.
J Matern Fetal Neonatal Med. 2018 Jan;31(1):63-69. doi: 10.1080/14767058.2016.1275549. Epub 2017 Feb 23.
The purpose of this study was to assess the efficacy of Achillea millefolium and Hypericum perforatum ointments on episiotomy wound healing in primiparous women.
This is a double-blind clinical trial study performed on 140 primiparous women. They were randomly divided into four groups, each group containing 35 women: 2control groups including nonintervention and placebo ointment; and 2 case groups including Hypericum perforatum ointment and Achillea millefolium ointment. Healing process was assessed by five specifications: redness, ecchymosis, edema, discharge and wound dehiscence on 7th, 10th, and 14th days after delivery; pain level was assessed by means of visual analog scale.
There was significant difference between groups in perineal pain level at 7th, 10th and 14th days postpartum, redness and edema at 7th and 10th days postpartum and ecchymosis at 7th day postpartum; the pain level, redness, edema and ecchymosis in groups who consume Hypericum perforatum and Achillea millefolium ointments were less than the control groups (p < 0.05). But, discharge and dehiscence incidence showed no significant difference between groups (p > 0.05).
Achillea millefolium and Hypericum perforatum ointments reduce perineal pain level, redness, edema and ecchymosis of episiotomy wound, so it seems that consuming them was useful for episiotomy treatment.
本研究旨在评估蓍草软膏和贯叶连翘软膏对初产妇会阴侧切伤口愈合的疗效。
这是一项对140名初产妇进行的双盲临床试验研究。她们被随机分为四组,每组35名女性:2个对照组,包括不干预组和安慰剂软膏组;2个病例组,包括贯叶连翘软膏组和蓍草软膏组。在分娩后的第7天、第10天和第14天,通过五个指标评估愈合过程:发红、瘀斑、水肿、分泌物和伤口裂开;通过视觉模拟量表评估疼痛程度。
产后第7天、第10天和第14天的会阴疼痛程度、产后第7天和第10天的发红和水肿以及产后第7天的瘀斑在各组之间存在显著差异;使用贯叶连翘软膏和蓍草软膏组的疼痛程度、发红、水肿和瘀斑均低于对照组(p < 0.05)。但是,分泌物和裂开发生率在各组之间无显著差异(p > 0.05)。
蓍草软膏和贯叶连翘软膏可降低会阴侧切伤口的会阴疼痛程度、发红、水肿和瘀斑,因此使用它们似乎对会阴侧切治疗有益。