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:: دوره 28، شماره 3 - ( 2-1402 ) ::
جلد 28 شماره 3 صفحات 306-292 برگشت به فهرست نسخه ها
ارزیابی تأثیر ژل ترکیبی هلپه ـ آلوئه‌ورا بر بهبود زخم اپیزیوتومی، شدت درد و رضایت زنان نخست‌زا در مقایسه با پلاسبو: یک کارآزمایی بالینی تصادفی شده یک سوکور
مریم عزیزی 1، سیده قاطمه حکمت زاده2 ، حسین صادقی2 ، طیبه بهمن زاده3 ، فاطمه بازرگانی پور2
1- مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران ، azizi.maryam@gmail.com
2- مرکز تحقیقات گیاهان دارویی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
3- مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران
چکیده:   (695 مشاهده)

زمینه و هدف: با توجه به اهمیت کاهش درد و بهبودی اپی زیاتومی و بازگشت سریعتر مادران به فعالیتهای روزانه و عدم مطالعه موجود در زمینه تأثیر ژل ترکیبی ژل ترکیبی هلپه ـ آلوئه‌ورا متعاقب اپیزیاتومی، لذا هدف از این مطالعه تعیین و ارزیابی تأثیر ژل ترکیبی           هلپه ـ آلوئه‌ورا بر بهبود زخم اپیزیاتومی، شدت درد و رضایت زنان نخست‌زا در مقایسه با پلاسبو بود.


روش بررسی: این مطالعه یک کارآزمایی بالینی تصادفی شده یک سوکور می‌باشد که بر روی 100 شرکت کننده در بیمارستان خلیج فارس بندرعباس انجام شد. ژل ترکیبی هلپه ـ آلوئه‌ورا یا ژل پلاسبو دو بار در محل زخم اپیزیاتومی به مدت 10 روز به ترتیب در گروه مداخله و کنترل تجویز شد. متغیرهای پیامد شامل درد و بهبود زخم با مقیاس ریدا(میزان قرمزی، ادم، اکیموز، ترشحات و نزدیکی لبه‌های زخم اپیزیاتومی رضایت بیماران وارزیابی عوارض جانبی بود. داده‌های جمع‌آوری شده با استفاده از آزمون‌های آماری مجذور کای، تی‌تست تجزیه و تحلیل شدند.

یافته‌ها: نتایج نشان می‌دهد که دو گروه از نظر نمره ریدا در ساعت‌های روز چهارم و دهم پس از زایمان تفاوت آماری معنی‌داری داشتند(05/0p<). گروه ژل ترکیبی هلپه ـ آلوئه‌ورا نسبت به پلاسبو در طول زمان، بهبود زخم بهتری داشتند. هم‌چنین، در موضوع درد، امتیاز آماری معنی‌داری پایین‌تری در گروه ژل ترکیبی هلپه ـ آلوئه‌ورا در روز چهارم (34/1±80/5 در مقابل 42/1±79/6) و دهم (88/0±71/1 در مقابل 91/0±58/2) بعد از زایمان نسبت به پلاسبو گزارش شد(05/0p<). نتایج مطالعه نشان می‌دهد که رضایت بیمار در روز چهارم(17/1±45/3 در مقابل 37/1±42/5) و دهم (57/0±33/1 در مقابل 21/1±50/2) پس از زایمان به ‌طور معنی‌داری در مقایسه با پلاسبو بهتر بود(05/0>p).

نتیجه‌گیری: یافتههای این مطالعه نشان می‌دهد که ژل ترکیبی هلپه ـ آلوئه‌ورا باعث بهبود زخم اپیزیاتومی ، رضایت بهتر بیماران و شدت درد کمتر در مقایسه با پلاسبو می‌شود.
 
واژه‌های کلیدی: هلپه، آلوئه‌ورا، اپیزیاتومی، رضایت، درد
متن کامل [PDF 712 kb]   (193 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: بالینی-زنان و زایمان
دریافت: 1401/8/16 | پذیرش: 1402/2/16 | انتشار: 1402/2/16
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59. Azhari S, Aradmehr M, Rakhshandeh H, Tara F, Shakeri MT. The effects of chamomile cream on wound healing of episiotomy in primiparous women. Iran J Obstet Gynecol Infertil 2014; 17(93): 16-6. ##
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67. Tavakkoli Saberi M, Sedaghat, H. Medicinal plants. Gulshan Publications 1993; 23-27. ##
68. Ogalesyan GB, Galstyan AM, Mnatsakanyan VA, Shashkov AS, Agababyan PV. Phenylpropanoid glycosides of teucrium polium. Chem Nat Compd 1999; 27: 90-5. ##
69. Abrurjari T, Hadaib M, Cavrini V. Composition of the essential oil from Jordanian germander (Teucvium poliuml). Journal of Eessential Oil Research 2008; 18: 97-9. ## [DOI:10.1080/10412905.2006.9699398]
70. Ansari M, Alizadeh AM, Paknejad M, Khaniki M, Naeimi SM. Effects of teucrium polium honey on burn wound healing process. Journal of Babol University Medical Sciences 2009; 11: 7-12. ##
71. Hassan MM, Muntadi FJ, Al-badr AA. GLC mass spectrometry of teucrium polium oil. J Pharm Sci 1979; 68: 800-1. ## [DOI:10.1002/jps.2600680639] [PMID]
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74. Wassel GM, Ahemed SS. Chemical composition of the wild Egyptian plant teucrium polium-L. Pharmazie 1974; 29: 540-1. ##
75. Mohammady Rouzbahani A, Dolatian M, Jahedbozorgan T, Mojab F, Tajik M. Evaluation of the effect of Teucrium polium ointment on the episiotomy wound healing in primiparous women. Immunopathol Persa 2021; 7(2): e33. ## [DOI:10.34172/ipp.2021.33]
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77. Fallah Huseini H, Abdolghaffari AH, Ahwazi M, Jasemi E, Yaghoobi M, Ziaee M. Topical application of teucrium polium can improve wound healing in diabetic Rats. The International Journal of Lower Extremity Wounds 2020; 19(2): 132-8. ## [DOI:10.1177/1534734619868629] [PMID]
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79. Mohammadi Gh. Aloevera, Institute of jungle research. Tehran.1994; 1-10. ##
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82. Liang J, Cui L, Li J, Guan S, Zhang K, Li J. Aloe vera: a medicinal plant used in skin wound healing. Tissue Eng Part B Rev 2021; 27(5): 455-74. ## [DOI:10.1089/ten.teb.2020.0236] [PMID]
83. Yagi A, Hasegawa M, Ataka S. Possible efficacy of aloe vera gel to wound healing and pain relief: case reports of kampo medicine with aloe vera juice. Journal of Gastroenterology and Hepatology Research 2020; 9(5): 3298-302. ## [DOI:10.17554/j.issn.2224-3992.2020.09.959]
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85. Hekmatpou D, Mehrabi F, Rahzani K, Aminiyan A. The effect of aloe vera clinical trials on prevention and healing of skin wound: a systematic review. Iranian Journal of Medical Sciences 2019; 44(1): 1-9. ##
86. Donyavi T, Naieni KH, Nedjat S, Vahdaninia M, Najafi M, Montazeri A. Socioeconomic status and mortality after acute myocardial infarction: a study from Iran. International Journal for Equity in Health 2011; 10: 9. ## [DOI:10.1186/1475-9276-10-9] [PMID] []
87. Fadayevatan R, Alizadeh-Khoei M, Hessami-Azar ST, Sharifi F, Haghi M, Kaboudi B. Validity and Reliability of 11-face Faces Pain Scale in the Iranian Elderly Community with Chronic Pain. Indian J Palliat Care 2019; 25(1): 46-51. ##
88. Davidson N. REEDA: evaluating postpartum healing. J Nurse Midwifery 1974; 19(2): 6-8.
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Azizi M, Hekmatzadeh S, Sadeghi H, Bahmanzadeh T, Bazarganipour F. Evaluation the Effect of Teucrium Polium Plus Aloe Vera Gel on Episiotomy Wound Healing, Pain Intensity and Patient’s Satisfaction in Primiparous Women: A Single Blind Randomized Clinical Trial. armaghanj 2023; 28 (3) :292-306
URL: http://armaghanj.yums.ac.ir/article-1-3398-fa.html

عزیزی مریم، حکمت زاده سیده قاطمه، صادقی حسین، بهمن زاده طیبه، بازرگانی پور فاطمه. ارزیابی تأثیر ژل ترکیبی هلپه ـ آلوئه‌ورا بر بهبود زخم اپیزیوتومی، شدت درد و رضایت زنان نخست‌زا در مقایسه با پلاسبو: یک کارآزمایی بالینی تصادفی شده یک سوکور. ارمغان دانش. 1402; 28 (3) :292-306

URL: http://armaghanj.yums.ac.ir/article-1-3398-fa.html



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دوره 28، شماره 3 - ( 2-1402 ) برگشت به فهرست نسخه ها
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