CAJ | 학술논문

重点阐述了2组顺产妇在助产过程中，胎儿娩出期施行2种不同角度(45°和25～30°)会阴侧切术，在胎儿自然娩出力，子宫收缩力，胎儿体质量，保护会阴阻力，会阴组织等条件基本相同的情况下，通过临床对比研究。结果：施行25～30°会阴侧切组110例(改良组)，伤口撕裂率为35.45%，施行45°会阴侧切组产妇116例(对照组)，会阴伤口撕裂率为2.07%，统计分析，2组撕裂率有高度显著性差异，P＜0.01。改良组产妇会阴伤口具有缝合时间短，缝合针数少，减轻产妇痛苦和会阴缝合术后牵拉疼痛，使产妇能在产后较短时间内下床活动，坐式哺乳等优点。减少了护理工作量，相时缩短了产妇产后住院时间，降低了会阴伤口感染数。
중점천술료2조순산부재조산과정중，태인면출기시행2충불동각도(45°화25～30°)회음측절술，재태인자연면출력，자궁수축력，태인체질량，보호회음조력，회음조직등조건기본상동적정황하，통과림상대비연구。결과：시행25～30°회음측절조110례(개량조)，상구시렬솔위35.45%，시행45°회음측절조산부116례(대조조)，회음상구시렬솔위2.07%，통계분석，2조시렬솔유고도현저성차이，P＜0.01。개량조산부회음상구구유봉합시간단，봉합침수소，감경산부통고화회음봉합술후견랍동통，사산부능재산후교단시간내하상활동，좌식포유등우점。감소료호리공작량，상시축단료산부산후주원시간，강저료회음상구감염수。
This paper gives the brief account of the researches in the effection of the side- cuts in perineum carried out in two angles (45°and 25～30°) during the helps in child birth between two groups of eutosia on the similar condition:fetal weight the contradict of womb perineum tissue e. g.. The results show that amnong 116 parturients with side- cut in 45( contrated group), the rate of tearing is 62.06%; on the contrary, among 110 parturients with side - cut in 25 ～ 30°( improved group), the rate of tearing is 35.45 %. According to statistics analysis, the rate of tearing in two groups has a marked difference (P＜0.01). It directly shows the parturients in improved group have the advantages:shortening the sewing- up time lessening needling numbers reliving of the after - pains making the parturients get out bed some time later and sulkle the new- born babies in sitting way,reducing the nursing,shortening the time of infection.