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葡萄籽油软膏对剖宫产切口愈合的影响:一项双盲、随机、对照临床试验。

Effect of grape seed extract ointment on cesarean section wound healing: A double-blind, randomized, controlled clinical trial.

机构信息

Instructor, East Nursing and Midwifery Care Research Center Instructor, Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.

East Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Complement Ther Clin Pract. 2019 May;35:323-328. doi: 10.1016/j.ctcp.2019.03.011. Epub 2019 Mar 20.

Abstract

BACKGROUND

and purpose: Complications of the delayed recovery of cesarean section (CS) wound can include stress, discomfort, and dissatisfaction of the mother in the postpartum period. This study tried to determine the effect of grape seed extract ointment on CS wound healing.

MATERIALS AND METHODS

This is a double-blind, randomized, controlled clinical trial incorporating 129 women eligible for CS in eastern Iran. Participants were selected through convenience sampling method and were subsequently randomly assigned into three groups: 2.5% grape seed extract ointment, 5% grape seed extract ointment, and petrolatum. CS wound healing indices were assessed before the intervention, and 6 and 14 days after the intervention using the REEDA scale (redness, edema, ecchymosis, discharge, and approximation).

RESULTS

The mean scores on days 6 and 14 after intervention were respectively 2.02 ± 0.52 and 0.98 ± 0.61 in the 5% ointment group, 2.83 ± 0.54 and 1.58 ± 0.67 in the 2.5% ointment group, and 2.91 ± 0.51 and 1.55 ± 0.74 in the petrolatum group. While the mean score in the 5% ointment group was significantly different from those of 2.5% ointment and petrolatum groups (P < 0.001), the mean score in the 2.5% ointment group was not significantly different from that of the petrolatum group on days 6 and 14 after intervention (P = 0.38 and P = 0.79, respectively).

CONCLUSION

The current results suggest that 5% grape seed extract may have beneficial therapeutic effects in promoting CS wound healing.

摘要

背景和目的

剖宫产(CS)切口延迟恢复的并发症包括母亲在产后期间的压力、不适和不满。本研究试图确定葡萄籽提取物软膏对 CS 伤口愈合的影响。

材料和方法

这是一项在伊朗东部进行的双盲、随机、对照临床试验,纳入了 129 名符合 CS 条件的女性。参与者通过便利抽样法选择,并随后随机分为三组:2.5%葡萄籽提取物软膏、5%葡萄籽提取物软膏和凡士林。使用 REEDA 量表(红肿、水肿、瘀斑、渗液和愈合)在干预前、干预后 6 天和 14 天评估 CS 伤口愈合指数。

结果

干预后 6 天和 14 天的平均评分分别为 5%软膏组 2.02±0.52 和 0.98±0.61,2.5%软膏组 2.83±0.54 和 1.58±0.67,凡士林组 2.91±0.51 和 1.55±0.74。虽然 5%软膏组的平均评分与 2.5%软膏组和凡士林组有显著差异(P<0.001),但 2.5%软膏组在干预后 6 天和 14 天的平均评分与凡士林组无显著差异(P=0.38 和 P=0.79)。

结论

目前的结果表明,5%葡萄籽提取物可能对促进 CS 伤口愈合具有有益的治疗作用。

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