RESUMO
Objective To search an effective method for the attendance of perineum wound to en-hance the first healing rate of wounds and relieve the pain of puerperas. Methods 120 puerporas with perineum wounds after spontaneous delivery per vagina from January to June ,2005 were selected as the control group, and the observation group were composed of 120 paerperas with perineum wounds after spontaneous delivery per vagina from January to June, 2006. With the complete of wounds suture post par-tum, wounds were swabbed with iodophors only in the control group; in the observation group, after swab-bling with iodophors, wounds were attended with the KunZhiYuFuLing perineal pad for perineum wounds. The time of detumeseence, the degree of pain, the lust healing rate and the time of sutures out were com-pared between the two groups. Results Compared with the control group, during the 24 hours post par-tum, the number of wounds detumeseenee and the degree of pain in the observation group was beth signifi-cantly reduced. The first healing rate in the observation group was significantly increased than that in the control group. And compared with the control group, the time of suture out in the observation group was sig-nificantly shorter. Conclusions The method with the KunZhiYuFuLing perineal pad for perineum wounds has better effect than traditional methods. It can speed up detumescence, relieve pain effectively, cut down the wounds infection, promote the wounds bealing,,reduce the time of suture out; furthermore it is manufactured easily, used conveniently, and deserve to be generalized in clinic.
RESUMO
OBJECTIVE To discuss the function of sustaining quality improvement in preventing perineum wound infection.METHODS The perineum wound infection situation in 2003 was retrospectively analyzed,and since then the measures for sustaining quality improvement were implemented.RESULTS In 2004 and in 2005 the perineum wound infection percentage and the stitch inflammation rate were obviously reduced than in 2003.The difference was statisticaly significant.CONCLUSIONS Sustaining quality improvement is an unceasing,gradually advancing and long-term process.The prevention of perineum wound infection is a long time work for obstetrics workers.To carry out strictly the aseptic technical operation,grasp skilled suture technology,choose easily absorbable suture,maintain suitable cleanliness and nursing and use the antibiotic could be effectively to prevent the perineum wound infection and the stitch inflammation occurrence.