CAJ | 학술논문

目的：探讨国际产科服务模式对促进自然分娩、降低会阴侧切率的效果。方法：选取2012年10月-2013年10月于笔者所在医院自然分娩的636例初产妇作为观察组，运用国际产科服务模式，在无保护会阴状态下分娩出胎儿；选取2011年10月-2012年9月于笔者所在医院自然分娩的528例初产妇作为对照组，按妇产科教科书常规护理，采用传统的方法保护会阴进行接产。结果：观察组产妇的会阴侧切率明显低于对照组，差异有统计学意义(P<0.05)。两组产妇会阴裂伤例数及程度比较差异无统计学意义(P>0.05)。结论：推广国际产科服务模式，减少医疗干预、降低会阴侧切率，促进自然分娩，减轻产妇分娩痛苦，从而提高产科质量。
목적：탐토국제산과복무모식대촉진자연분면、강저회음측절솔적효과。방법：선취2012년10월-2013년10월우필자소재의원자연분면적636례초산부작위관찰조，운용국제산과복무모식，재무보호회음상태하분면출태인；선취2011년10월-2012년9월우필자소재의원자연분면적528례초산부작위대조조，안부산과교과서상규호리，채용전통적방법보호회음진행접산。결과：관찰조산부적회음측절솔명현저우대조조，차이유통계학의의(P<0.05)。량조산부회음렬상례수급정도비교차이무통계학의의(P>0.05)。결론：추엄국제산과복무모식，감소의료간예、강저회음측절솔，촉진자연분면，감경산부분면통고，종이제고산과질량。
Objective:To explore the effect of international obstetric service mode to promote natural delivery, reduce the rate of lateral episiotomy. Method:Selected from October 2012 to October 2013 in the author’s hospital natural birth of 636 cases of primipara as observation group, using the international obstetric service mode, in the condition of no protection of perineum out fetal childbirth. Selected from October 2011 to September 2012 in the author’s hospital natural birth of 528 cases of primipara as control group, routine nursing in obstetrics and gynecology textbooks, adopt the method of traditional protection of perineum for delivery.Result:Maternal episiotomy rate of observation group was obviously lower than the control group, the difference was statistically significant (P<0.05). Two groups of maternal perineal laceration cases and degree of comparative differences had no statistical significance (P>0.05).Conclusion:Promote international obstetric service mode, reduce medical intervention, to reduce the episiotomy rate, promote natural delivery, reduce puerpera childbirth pain and sufferings, thus improve the quality of obstetrics.