双氯芬酸钠栓在会阴侧切缝合术中的研究

目的探讨双氯芬酸钠栓用于会阴侧切缝合术中及术后镇痛的疗效观察。方法随机将183例会阴侧切产妇分为观察组89例与对照组94例。两组用2％利多卡因会阴侧切局部麻醉，观察组在胎儿娩出结束第二产程及产后6h分别双氯芬酸钠栓直肠给药，观察会阴侧切缝合术中及产后会阴侧切伤口疼痛的镇痛效果、缝合时间、第三产程时间、产后出血量等。结果两组术中、术后镇痛效果、缝合时间比较，差异有统计学意义（P〈0．05或P〈0．01）；两组第三产程时间、产后出血量比较，差异无统计学意义（P〉0．05）。结论双氯芬酸钠栓用于会阴侧切缝合术中术后镇痛效果显著，并能缩短缝合时间，值得临床推广使用。

Study of diclofenac sodium suppository in episiotomy suture

Objective To explore the effects of diclofenac sodium suppository in episiotomy suture operation and observe its postoperative analgesia ability.Methods 182 episiotomy maternal were collected and divide into observation group (n=89) and control group (n=94) randomly. All the individuals were treated with episiotomy under local anesthesia. Observation group was treated with diclofenac sodium suppository in rectum in second stage of labor and 6h after labor respectively. Episiotomy wound pain in and after operation, suture time, third stage of labor and bleeding after labor were observed.Results Analgesia effects, suture time and duration of analgesia were different between the two groups (P<0.05 or P<0.01); third stage of labor and bleeding after labor did not reach the statistical difference between the two groups (P>0.05).Conclusions Diclofenac sodium suppository was effective in analgesia applied in episiotomy suture operation, could shorten suture time and worthy of clinical use.