بررسی تأثیر گیاهان دارویی بر بهبود زخم اپی‌زیاتومی در ایران: یک مطالعه مروری سیستماتیک

نوع مقاله : مروری

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات توسعه اجتماعی و ارتقای سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

چکیده

مقدمه: تأخیر در ترمیم زخم اپی­زیاتومی با افزایش خطر عفونت همراه بوده و جلوگیری از عفونت زخم پرینه، از اجزای اصلی مراقبت روزمره مادران است. جهت بهبود سریع‌تر زخم اپی‌زیاتومی، روش­های کم‌هزینه، مؤثر، مناسب، در دسترس و قابل پذیرش توسط زنان مورد توجه بوده که از جمله این روش‌ها می­توان از گیاهان دارویی نام برد، لذا مطالعه حاضر با هدف مرور سیستماتیک مطالعات انجام شده در رابطه با تأثیر گیاهان دارویی بر بهبود زخم اپی­زیاتومی در ایران انجام شد.
روش‌کار: جستجوی الکترونیکی در پایگاه­های اطلاعاتی Iranmedex،Magiran ، SID، Web of Science، Science Direct، Scopus،  Pubmed و همچنین موتور جستجوی Google scholar با کلیدواژه­های فارسی شامل: اپی‌زیاتومی، بهبود زخم، پرینه، گیاهان دارویی، داروهای گیاهی و کلید واژه­های انگلیسی شامل: Episiotomy، Wound healing، Perineum، Herbal Medicine و Medicinal Plants  انجام شد. جستجوی ترکیبی کلیدواژه­ها با استفاده از عملگرهای بولین AND و  ORانجام شد. بازه زمانی جستجو از زمان مشاهده تا دسامبر 2019 بود. بر اساس چک‌لیست  CONSORT 2010مطالعاتی که نمره 18 و یا بیشتر گرفتند، وارد مطالعه شدند. تجزیه و تحلیل داده­ها به‌صورت کیفی انجام شد.
یافته‌ها: در این مطالعه 28 کارآزمایی بالینی شامل 19 نوع از گیاهان دارویی مورد بررسی قرار گرفتند. بر اساس نتایج مطالعات، اکثر گیاهان در بهبود زخم اپی­زیاتومی مؤثر بودند.
نتیجه‌گیری: برای بهبود زخم، گیاهانی مانند صبر زرد، زردچوبه و اسطوخودوس که دارای خواص ضدالتهابی، ضدباکتریایی و آنتی‌اکسیدانی هستند، گزینه­های مطلوبی می­باشند. به‌علت ناکافی بودن تعداد مقالات در برخی موارد و وجود تناقض در نتایج برخی مقالات دیگر، نمی‌توان در مورد این گیاهان اظهارنظر قطعی کرد، لذا جهت اثربخشی قطعی این مداخلات توصیه می­شود که مطالعات آتی وسیع‌تر و با حجم نمونه بیشتری انجام شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Medicinal Plants on Episiotomy Wound Healing In Iran: A Systematic Review Study

نویسندگان [English]

  • Fariba Mardani 1
  • Fatemeh Hadizadeh- Talasaz 2
  • Narjes Bahri 2
1 M.Sc. Student of Midwifery, Student Research Committee, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Assistant Professor, Department of Midwifery, Social Development & Health Promotion Research Center, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
چکیده [English]

Introduction: Delay in episiotomy wound healing is associated with an increased risk of infection; prevention of perineal wound infection is a major component of daily care for mothers. For more quickly healing of episiotomy wounds, low cost, effective, convenient, accessible and acceptable methods are considered by women; medicinal plants are of these methods. Therefore, this systematic review was performed with aim to investigate the effects of medicinal plants on the episiotomy wound healing in Iran.
Methods: Electronic search was done in databases of Iranmedex, Magiran, SID, Web of Science, Science Direct, Scopus, Pubmed, as well as Google Scholar search engine with Persian and English keywords including: Episiotomy, Wound healing, Perineum, Herbal Medicine, and Medicinal Plants. Combined searches of the keywords was performed using OR and boolean AND operators. The search period was from observation to December 2019. According to the CONSORT 2010 checklist, the studies with a score of ≥18 were included in the study. Data analysis was performed qualitatively.
Results: In this study, 28 clinical trials including 19 types of medicinal plants were studied. According to the results of the studies, most plants were effective in episiotomy wound healing.
Conclusion: Plants such as as Aloe Vera, Turmeric and Lavender that have anti-inflammatory, antibacterial and antioxidant properties are desirable options for wound healing. Due to insufficient number of articles in some cases and inconsistency in the results of some other articles, we can't definitively comment about these plants. Therefore, for definitive effectiveness of these interventions, further studies with larger sample size are recommended.

کلیدواژه‌ها [English]

  • Episiotomy
  • Healing
  • Iran
  • Medicinal Plants
  • Perineum
  • Wound
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