تأثیر پماد حاوی عصاره مورد، چای سبز و دارونما بر کاهش درد پرینه و بهبود زخم اپی‌زیاتومی در زنان نخست‌زا: کارآزمایی بالینی تصادفی شده سه‌سوکور

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران.

2 مربی گروه بهداشت عمومی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران.

3 کارشناس ارشد مامایی، دانشگاه علوم پزشکی دزفول، دزفول، ایران

4 استاد گروه فارماکوگنوزی، مرکز تحقیقات علوم دارویی، دانشکده داروسازی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: اپی‌زیاتومی یکی از روش‌های متداولی است که برای وسیع‌تر کردن خروجی لگن استفاده می‌شود و با عوارضی مانند درد و خونریزی همراه می‌باشد. چای سبز و مورد، دو گیاه دارویی با خواص ضد التهاب و ضد درد می‌باشند. مطالعه حاضر با هدف بررسی تأثیر عصاره مورد و چای سبز بر کاهش درد و ترمیم زخم اپی‌زیاتومی انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی سه‌سوکور در سال 1400-1399 بر روی 90 نفر از زنان نخست‌زای مراجعه کننده به زایشگاه بیمارستان الهادی شوشتر و گنجویان دزفول انجام شد. نمونه­ ها به‌صورت تصادفی در گروه‌های دریافت کننده پماد چای سبز، مورد و دارونما به‌مدت 14 روز تحت درمان قرار گرفتند. ارزیابی وضعیت بهبود زخم با معیار ریدا و شدت درد با معیار VAS انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 23) و آزمون‌های من ویتنی و فریدمن صورت گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: شاخص ریدا در روز چهاردهم بین سه گروه مورد بررسی اختلاف معناداری داشت که این شاخص در گروه مورد کمتر از گروه چای سبز و گروه دارونما بود (001/0=p). شاخص VAS در روز چهاردهم بین سه گروه مورد بررسی اختلاف معناداری داشت که این شاخص در گروه مورد کمتر از گروه چای سبزو گروه دارونما بود (001/0=p).
نتیجه­ گیری: مصرف پماد عصاره مورد و عصاره چای سبز می ­تواند منجر به کاهش شدت درد و بهبود زخم اپی‌زیاتومی می­ گردد و به‌نظر می­ رسد که تأثیر پماد مورد بیشتر از پماد چای سبز و دارونما باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of Myrtus communis ointment, Camellia sinensis (green tea) and placebo on reducing perineal pain and healing episiotomy wound in nulliparous women: triple-blinded randomized clinical trial

نویسندگان [English]

  • Masoumeh Sayahi 1
  • Sara Ziagham 1
  • Azam Jahangirimehr 2
  • Zahra Hatamimanesh 3
  • Faraz Mojab 4
  • Maryam Nikbina 1
1 Instructor, Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
2 Instructor, Department of Public Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
3 M.Sc. of Midwifery, Dezfool University of Medical Sciences, Dezfool, Iran.
4 Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Episiotomy is one of the common methods used to widen the pelvic outlet, and it is associated with complications such as pain and bleeding. Green tea and Myrtus communis are two medicinal plants with anti-inflammatory and pain-relieving properties. The present study was conducted with aim to investigate the effect of Myrtus communis extract and green tea on pain reduction and episiotomy wound healing.
Methods: This three-blind randomized clinical trial study was conducted in 2020-2021 on 90 primiparous women referred to the maternity ward of Shushtar Al-Hadi and Ganjovian Dezful hospitals. The samples were randomly treated in groups receiving green tea, Myrtus communis extract ointment and placebo for 14 days. Evaluation of the wound healing status was done with Rida index and pain intensity by VAS. Data analysis was done with SPSS software (version 23) and Mann-Whitney and Friedman tests. P<0.05 was considered statistically significant.
Results: There was a significant difference among the three investigated groups in the Rida index on the 14th day, and this index was lower in the Myrtus communis group than in the green tea group and the placebo group (P=0.001). VAS index on the 14th day had a significant difference among the three investigated groups, and this index was lower in the Myrtus communis group than in the green tea group and the placebo group (P=0.001).
Conclusion: The use of Myrtus communis ointment and green tea extract can reduce pain intensity and improve heal episiotomy wound, and it seems that the effect of Myrtus communis ointment is more than green tea ointment and placebo.

کلیدواژه‌ها [English]

  • Episiotomy
  • Green tea
  • Myrtus communis

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 9
آذر 1402
صفحه 51-62

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