分娩後產婦執行會陰冰敷降低會陰傷口疼痛之成效

The The effect of cryotherapy on relief of perineal pain after vaginal childbirth

李穎涵(Ying-Han Li) ； 曾惠翎(Hui-Ling Tseng)

《嘉基護理》 20卷2期 (2020/12) Pp. 48-53

摘要

會陰傷口疼痛是分娩後產婦最感困擾的問題，此不但造成產後活動困難，影響生活舒適度外，可能連帶影響產婦照顧新生兒之意願；故本文主要探討經陰道分娩後產婦使用冰敷降低會陰傷口疼痛之成效，於華藝線上圖書館、PubMed、Medline及Cochrane Library四個資料庫，搜尋近10年（2011～2020年）所發表之中文及英文文獻，經評讀後共納入四篇隨機控制試驗。根據研究結果，產後會陰冰敷能有效緩解產婦會陰傷口疼痛問題，且此措施不具侵入性、方便容易執行，故建議落實於產科臨床照護，有助於提升陰道分娩產婦產後生活品質。

關鍵字

陰道分娩 ； 冰敷 ； 會陰傷口 ； 疼痛

並列摘要

Perineal wound pain is the most troublesome problem for mothers after childbirth. This not only causes difficulties in postpartum activities, but also affects quality of life, and may also affect the willingness of mothers to take care of their newborns. This article mainly discusses the effect of ice compress on perineal wound pain reduction by women after vaginal delivery. It was published in the four databases of Huayi Online Library, PubMed, Medline and Cochrane Library in the past 10 years (2011 to 2020). The Chinese and English literature were reviewed and included in four randomized controlled trials. According to the results of the study, postpartum perineal ice compress can effectively relieve the perineal pain of postpartum women. This method is non-invasive and easy to implement. Upon above results, we recommended to implement in obstetric clinical care and is useful for improving the postpartum quality of life of vaginal delivery women.

並列關鍵字

vaginal childbirth ； ice pack ； perineal wound ； pain

參考文獻

Beleza ACS, Ferreira CHJ, Driusso P, Dos Santos CB, Nakano AMS. (2017). Effect of cryotherapy on relief of perineal pain after vaginal childbirth with episiotomy: a randomized and controlled clinical trial. Physiotherapy, 103(4), 453-458. doi:10.1016/j.physio.2016.03.003

Francisco AA, De Oliveira SMJV, Steen M, Nobre MRC, De Souza EV. (2018). Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial. Women & Birth: Journal of the Australian College of Midwives, 31(5),e334-e340. doi:10.1016/j.wombi.2017.12.011

Lu YY, Su ML, Gau ML, Lin KC, Au HK. (2015). The efficacy of cold-gel packing for relieving episiotomy pain - a quasirandomised control trial. Contemp Nurse, 50(1), 26-35. doi: 10.1080/10376178.2015.1010257.

Leventhal LC, de Oliveira SM, Nobre MR, da Silva FM. (2011). Perineal analgesia with an ice pack after spontaneous vaginal birth: a randomized controlled trial. Journal of Midwifery & Women's Health, 56(2), 141-6. doi:10.1111/j.1542-2011.2010.00018.x

王品臻、蘇鈺婷、張溥鴻（2011）‧探討產婦會陰切開術後會陰疼痛程度與困擾問題之相關性‧弘光學報，64，9-22。