【摘要】 目的 整合阴道分娩产妇产后会阴疼痛管理的最佳证据，为临床开展有效会阴疼痛管理提供依据。方法 系统检索临床支持决策系统、国内外指南网站、专业学会或协会网站及相关数据库等，获取阴道分娩产妇产后会阴疼痛管理的相关文献，包括临床决策、证据总结、最佳实践、指南、专家共识、系统评价，检索时限为建库至2023年11月。由2名研究者对文献独立进行质量评价，4名研究者按照标准化提取表格进行证据提取并整合，小组讨论确定最终的最佳证据。结果 纳入20篇文献，其中临床决策3篇，证据总结4篇，指南4篇，专家共识4篇，系统评价5篇。最终从会阴创伤的预防、会阴伤口的缝合、疼痛评估、非药物干预、药物干预、产后健康教育及人员培训7个方面总结了26条证据。结论 总结的阴道分娩产妇产后会阴疼痛的最佳证据较为科学、全面，临床医护人员可结合实际临床情景和患者需求选择证据，制订相关疼痛管理措施，以降低产妇会阴疼痛程度。更多还原

【Abstract】 Objective To summarize the best evidence on perineal pain management in women after normal vaginal delivery, and to provide evidences for effective perineal pain management in clinic.Methods Systematic retrieval of clinical support decision-making system, domestic and international guide websites, websites of professional societies or associations and related databases was conducted to obtain literature on postpartum perineal pain management in normal vaginal delivery women, including clinical decision-making, evidence summary, best practices, guidelines, expert consensus, systematic reviews.The retrieval time limit was from the establishment of the databases or websites to November, 2023.Two researchers independently evaluated the quality of the lite-rature, and four researchers extracted and integrated the evidence according to the standardized extraction table, and determined the final best evidence through group discussion.Results Twenty articles were included, consisting of 3 clinical decisions, 4 evidence summaries, 4 guidelines, 4 pieces of expert consensus and 5 systematic reviews.Finally, 26 pieces of evidence were summarized and categorized into seven aspects: prevention of perineal trauma, suture of perineal wound, pain assessment, non-drug intervention, drug intervention, postpartum education and personnel training.Conclusion The summarized evidence on postpartum perineal pain management in women after normal vaginal delivery is scientific and comprehensive.Clinical medical staff can choose the evidence according to actual clinical situation and patients′ needs, and formulate relevant pain management measures to reduce the degree of perineal pain.更多还原