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首页> 外文期刊>Iranian red crescent medical journal >The Effect of Equisetum Arvense (Horse Tail) Ointment on Wound Healing and Pain Intensity After Episiotomy: A Randomized Placebo-Controlled Trial
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The Effect of Equisetum Arvense (Horse Tail) Ointment on Wound Healing and Pain Intensity After Episiotomy: A Randomized Placebo-Controlled Trial

机译：马术软膏（马尾）软膏对切开术后伤口愈合和疼痛强度的影响：随机安慰剂对照试验

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Episiotomy, a common surgical practice in midwifery, is accompanied with high levels of pain and discomfort for mothers. The importance of medicinal herbs and traditional medicine in wound healing cannot be neglected. Objectives: Considering the positive effects and easy accessibility of Equisetum arvense, this study examined the effectiveness of topical application of Equisetum arvense ointment in wound healing, reduction of inflammation and pain relief after episiotomy in nulliparous mothers. Patients and Methods: This double-blind clinical trial was performed on 108 postpartum nulliparous mothers (54 women in horsetail group and 54 women in placebo group) in Alzahra Educational-Medical Center (Tabriz, Iran). About 5 ± 1 and 10 ± 1 days after the childbirth, the primary outcomes of episiotomy, i.e. wound healing and pain intensity, were assessed based on redness, edema, ecchymosis, discharge and approximation of the edges (REEDA) scale and a visual analogue scale (VAS), respectively. The secondary outcomes evaluated in the current research were the number of used painkillers and the adverse events during the 10-day period of the study. Data was analyzed using independent t and Mann-Whitney U tests. Results: The case and control groups had no significant differences in for the mean wound healing score (5.0 ± 1.6 vs. 4.1 ± 1.6) and mean pain intensity (5.7 ± 2.4 vs. 5.3 ± 2.2) at baseline. During both follow-up sessions (5 ± 1 and 10 ± 1days after delivery), the mean scores were significantly lower in the case group than the control group. The adjusted pain score difference (MD) after 5 ± 1 and 10 ± 1 days was -2.3 (95% CI: -3.2 to -1.3) and 3.8 (95% CI: -4.7 to -3.0), respectively. The mean numbers of acetaminophen pills used in the control and case groups during the 10-day period of the study were 6.8 ± 4.4 and 11.6 ± 7.1, respectively (P < 0.001). Conclusions: According to our findings, 3% Equisetum arvense ointment promoted wound healing and relieved pain during the 10-day period after episiotomy. Since this study was the first to assess the effects of Equisetum arvense ointment on wound healing and pain intensity following episiotomy in humans, further research is warranted to fully clarify the beneficial effects of prepared ointment.
机译：会阴切开术是助产术中的一种常见外科手术，伴随着母亲的高水平疼痛和不适。草药和传统药物在伤口愈合中的重要性不可忽视。目的：考虑到木贼栎的积极作用和易于使用，本研究检查了局部应用木贼栎软膏在未接产母亲的伤口愈合，减轻炎症和减轻疼痛后的局部应用的有效性。病人和方法：这项双盲临床试验是在Alzahra教育医学中心（伊朗塔布里兹）的108名产后未产母亲（马尾组中的54名妇女和安慰剂组中的54名妇女）进行的。在分娩后约5±1和10±1天，会根据发红，浮肿，瘀斑，分泌物和边缘边缘（REEDA）量表和视觉类似物评估会阴切开术的主要结局，即伤口愈合和疼痛强度规模（VAS）。在当前研究中评估的次要结果是在研究的10天中使用止痛药的数量和不良事件。使用独立的t和Mann-Whitney U检验分析数据。结果：病例组和对照组在基线时的平均伤口愈合得分（5.0±1.6 vs. 4.1±1.6）和平均疼痛强度（5.7±2.4 vs. 5.3±2.2）没有显着差异。在两次随访期间（分娩后5±1和10±1天），病例组的平均得分均显着低于对照组。 5±1天和10±1天后的调整后疼痛评分差异（MD）分别为-2.3（95％CI：-3.2至-1.3）和3.8（95％CI：-4.7至-3.0）。在研究的10天期间，对照组和病例组使用的对乙酰氨基酚药丸的平均数分别为6.8±4.4和11.6±7.1（P <0.001）。结论：根据我们的发现，在情节切开术后的10天内，3％的木贼科香膏可促进伤口愈合并减轻疼痛。由于这项研究是第一个评估木贼栎软膏对人进行外阴切开术对伤口愈合和疼痛强度的影响的研究，因此有必要进行进一步的研究以充分阐明制备的软膏的有益作用。

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