Treat postnatal ulcers with solutions of antiseptics cavitated by ultrasound

Abstract

Research objective - to compare efficiency of treatment of perineum postnatal ulcers by applications of Levomecol ointment and ablution solutions of antiseptics cavitated by low frequency ultrasound. Research included 30 women: in 1t group (n=15) ointment containing chloramphenicol and dioxomethyltetrahydropirimidine (Levomecol) was used, in 2nd group the wound was treated within 5 minutes with cavitated solution of 0.05% chlorhexidine. Secondary seams were overcast to patients of both groups while wound cleansing. Treatment efficiency assessment was performed on 3rd, 7th and 14th days of staying in specialized obstetric observation inpatient facility. Results: Subjective symptoms credibly weakened among patients from 2nd group: at 3rd day they assessed pain at 1,0+0,1p points, against 3,3+0,1 points in 1st group. Swelling in the area of the wound was observed in 1st group in 73,3%, in 2nd - 6,6% (р=0,01). Wound size in 1st group decreased to 28,6+0,4 mm, in 2nd group - 23,3+0,2 mm (р=0,04). 9 women (60.0%) in 1st group and no women in 2nd group (р=0,01) had fibrinous pellicle. Further, by 7th day dynamic of treatment of subjective and objective symptoms decreased in both groups, but credibly more intensive in the 2nd group. In 1st group secondary seams were overcast in average in 7,8 +1,0 days, in 2nd- in 5,2+0,8 days. Conclusions: 1) It is reasonable to treat postnatal ulcers in specialized obstetric observation inpatient facility; 2) Ablution of postnatal ulcer with solutions of antiseptics cavitated by ultrasound results in high therapeutic, rehabilitation and economic effect.