国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
12期
1808-1810
,共3页
会阴弹性护理%改良会阴侧切术%初产妇%疼痛%会阴伤口愈合率%新生儿体重%新生儿窒息
會陰彈性護理%改良會陰側切術%初產婦%疼痛%會陰傷口愈閤率%新生兒體重%新生兒窒息
회음탄성호리%개량회음측절술%초산부%동통%회음상구유합솔%신생인체중%신생인질식
Perineal elastic nursing%Improved episiotomy%Primipara%Pain%Perineal wound healing rate%Neonatal birth weight%Neonatal asphyxia
目的 探讨会阴弹性护理配合改良会阴侧切术对初产妇疼痛及分娩的影响.方法 于我院产科住院分娩的初产妇200例,按随机数字表法分为观察组与对照组各100例.观察组行改良会阴侧切术(25°～30°)+孕期会阴弹性护理,对照组行传统会阴切开术(45°).结果 观察组初产妇术后疼痛程度( Ⅰ级70％、Ⅱ级24％、Ⅲ级4％、Ⅳ级2％)明显轻于对照组(Ⅰ级21％、Ⅱ级19％、Ⅲ级50％、Ⅳ级10％),差异有显著性(P＜0.05).观察组会阴伤口 Ⅰ期、Ⅱ期愈合率(97％、3％)高于对照组(91％、8％),但差异无显著性(P＞0.05).观察组的新生儿体重和新生儿窒息发生率[(2874.46±313.44)g,0％]与对照组[(3235.15±311.03)g,4％]相比差异有显著性(P＜0.05).结论 会阴弹性护理配合改良会阴侧切术不仅可以增加肌肉组织的柔韧性和弹性,而且损伤小、缝合快、产妇痛苦减轻、会阴及盆底组织严重裂伤减少,提出会阴弹性护理配合改良会阴侧切术应用于临床有现实意义.
目的 探討會陰彈性護理配閤改良會陰側切術對初產婦疼痛及分娩的影響.方法 于我院產科住院分娩的初產婦200例,按隨機數字錶法分為觀察組與對照組各100例.觀察組行改良會陰側切術(25°～30°)+孕期會陰彈性護理,對照組行傳統會陰切開術(45°).結果 觀察組初產婦術後疼痛程度( Ⅰ級70％、Ⅱ級24％、Ⅲ級4％、Ⅳ級2％)明顯輕于對照組(Ⅰ級21％、Ⅱ級19％、Ⅲ級50％、Ⅳ級10％),差異有顯著性(P＜0.05).觀察組會陰傷口 Ⅰ期、Ⅱ期愈閤率(97％、3％)高于對照組(91％、8％),但差異無顯著性(P＞0.05).觀察組的新生兒體重和新生兒窒息髮生率[(2874.46±313.44)g,0％]與對照組[(3235.15±311.03)g,4％]相比差異有顯著性(P＜0.05).結論 會陰彈性護理配閤改良會陰側切術不僅可以增加肌肉組織的柔韌性和彈性,而且損傷小、縫閤快、產婦痛苦減輕、會陰及盆底組織嚴重裂傷減少,提齣會陰彈性護理配閤改良會陰側切術應用于臨床有現實意義.
목적 탐토회음탄성호리배합개량회음측절술대초산부동통급분면적영향.방법 우아원산과주원분면적초산부200례,안수궤수자표법분위관찰조여대조조각100례.관찰조행개량회음측절술(25°～30°)+잉기회음탄성호리,대조조행전통회음절개술(45°).결과 관찰조초산부술후동통정도( Ⅰ급70％、Ⅱ급24％、Ⅲ급4％、Ⅳ급2％)명현경우대조조(Ⅰ급21％、Ⅱ급19％、Ⅲ급50％、Ⅳ급10％),차이유현저성(P＜0.05).관찰조회음상구 Ⅰ기、Ⅱ기유합솔(97％、3％)고우대조조(91％、8％),단차이무현저성(P＞0.05).관찰조적신생인체중화신생인질식발생솔[(2874.46±313.44)g,0％]여대조조[(3235.15±311.03)g,4％]상비차이유현저성(P＜0.05).결론 회음탄성호리배합개량회음측절술불부가이증가기육조직적유인성화탄성,이차손상소、봉합쾌、산부통고감경、회음급분저조직엄중렬상감소,제출회음탄성호리배합개량회음측절술응용우림상유현실의의.
Objective To discuss the influence of perineal elastic nursing matching improved episiotomy on primipara's pain and parturition.Methods 200 primiparas in our hospital were collected,according with the method of random digits table,divided randomly into observation group and control group with 100 cases for each group,we compared the observation group which accepted the perineal elastic nursing matching improved episiotomy (angle of 25～30) with the control group which accepted traditional episiotomy (angle of 45).Results In the observation group,the degree of postoperative pain( level one to four was 70％,24％,4％ and 2％ respectively )was significantly weaker than that of the control group( level one to four was 21％,19％,50％ and 10％ respectively ),and the difference was statistically significant (the rate of healing by first intention and second intention was 97％,3％ to 91％,8％,P＜0.05).The perineal wound healing rate had no statistical difference in two groups (P＞0.05).The neonatal birth weight( 2874.46 ± 313.44 ) g to (3235.15 ± 311.03 )g and neonatal asphyxia rate( 0％ to 4％ ) had statistical difference in two groups (P＜0.05).Conclusions Perineal elastic nursing matching improved episiotomy can not only increase muscle's flexibility and elasticity,but also has less injury,quick suture,and reduce primipara' s pain,perineal and pelvic floor tissues in severe laceration of perineum.Perineal elastic nursing matching small angle episiotomy has practical significance in clinical application.
