寒冷与室温压缩相比,在正常的阴道分娩中受伤后修复的初腹膜上:一个随机对照试验
Khaliza Kazrin Karim1, Farah Gan1, Jesrine Hong1
1Faculty of Medicine, Department of Obstetrics and Gynecology, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, Kuala Lumpur, Malaysia.
American journal of obstetrics & gynecology MFM
|December 26, 2023
概括
在阴道分娩后,对周围修复部位反复施加冷,可在12小时后提供短期的疼痛缓解,但不会影响长期的愈合或性功能恢复. 对于持续疼痛管理策略,需要进一步的研究.
科学领域:
- 产科和妇科 产科和妇科
- 产后护理 产后护理
- 疼痛管理 疼痛管理
背景情况:
- 在阴道分娩期间,围损伤很常见.
- 冷可以缓解产后围疼痛,但效果是暂时的.
- 重复使用冷压剂对围愈合和性功能的长期影响尚不清楚.
研究的目的:
- 评估重复冷与室温 (安慰剂) 压缩剂在产后围疼痛中的有效性.
- 评估对周围的愈合和性功能恢复的中期影响.
主要方法:
- 一项随机对照试验,涉及224名经过修复的围破伤的妇女.
- 间歇应用冷凝包 (冷) 或室温凝包 (控制) 在产后8小时内3个时间点.
- 主要结局:在12小时和24小时运动期间的疼痛;次要结局:住院,止痛药的使用,功能恢复,母乳养,母亲的满意度和产后6周的性功能.
主要成果:
- 产后12小时冷压剂显著减少疼痛 (P=.018) 但在24小时 (P=.173) 没有显著减少疼痛.
- 在6周的孕产妇满意度,止痛药消费,母乳养,围疼痛或恢复阴道性行为方面没有发现显著差异.
- 对于其他次要结果,没有建议对其有害或有益.
结论:
- 在产后最初的8小时间断地使用冷,可以暂时缓解疼痛.
- 使用冷敷似乎没有影响长期围愈合或性功能恢复.
- 对于持续的产后围骨疼痛管理,需要进一步的策略.
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