CAJ | 학술논문

目的：探讨无保护会阴助产法对新生儿锁骨骨折的影响。方法选取2010年5月-2013年6月在妇产科自然分娩的产妇700例，随机分为对照组和观察组各350例。对照组采用常规的助产法，观察组采用无保护会阴助产法，观察2组新生儿锁骨骨折发生率。结果观察组产妇会阴侧切率明显低于对照组，2组软产道损伤、产后出血及会阴预后情况比较，差异无统计学意义。观察组新生儿锁骨骨折比例（1．43％）低于对照组（4．29％）。观察组产妇对助产的满意程度明显高于对照组。结论无保护会阴助产法可降低新生儿锁骨骨折发生率，符合自然分娩的规律。
목적：탐토무보호회음조산법대신생인쇄골골절적영향。방법선취2010년5월-2013년6월재부산과자연분면적산부700례，수궤분위대조조화관찰조각350례。대조조채용상규적조산법，관찰조채용무보호회음조산법，관찰2조신생인쇄골골절발생솔。결과관찰조산부회음측절솔명현저우대조조，2조연산도손상、산후출혈급회음예후정황비교，차이무통계학의의。관찰조신생인쇄골골절비례（1．43％）저우대조조（4．29％）。관찰조산부대조산적만의정도명현고우대조조。결론무보호회음조산법가강저신생인쇄골골절발생솔，부합자연분면적규률。
Objective To explore the influence of unprotected perineum midwifery method for neonatal clavicular fracture .Methods Seven hundred pregnant women with natural labor in obstet-rics-gynecology of our hospital from May 2010 to June 2013 were randomly divided into control group (n= 350)and observation group(n= 350) .The control group was given conventional midwifery method ,the observation group was given unprotected perineum midwifery method . The rate of neonatal clavicular fracture in 2 groups were observed .Results Episiotomy rate in the observation group was higher than that in the control group .There was no significant difference of birth canal injuries , postpartum hemorrhage , prognosis between 2 groups . Clavicle fracture rate in the observation group was lower than that in the control group (1.43% vs 4 .29% ) ,and the satisfaction degree was significanfly higher than that in the control group . Conclusion The method of unprotected perineum midwifery can reduce the incidence of neonatal clavicular fracture ,it′s worthy of clinical promotion .