实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
5期
62-64
,共3页
无保护会阴接生%初产妇%正常分娩%会阴侧切术
無保護會陰接生%初產婦%正常分娩%會陰側切術
무보호회음접생%초산부%정상분면%회음측절술
unprotected perineum delivery%primiparas%normal delivery%episiotomy
目的：探讨无保护会阴接生技术对初产妇会阴侧切率和产后疼痛的影响。方法将500例初产妇按入院时间的不同分为2组，每组250例。2013年3-11月入院产妇为观察组，2012年7月至2013年2月入院的产妇为对照组。对照组产妇采用传统接生技术分娩；观察组产妇采用会阴无保护接生技术分娩。观察比较2组产妇会阴切开率，术后＜48 h 会阴水肿、裂伤程度及疼痛等情况。结果对照组会阴侧切率为66.0%，观察组会阴侧切率为30.4%，对照组明显高于观察组（P＜0.05）。2组均未出现会阴Ⅲ度裂伤。2组产妇产后＜48 h 会阴水肿程度比较差异无统计学意义（P＞0.05），会阴疼痛级别分布上观察组（0级45例、Ⅰ级113例）明显优于对照组（0级20例、Ⅰ级96例）（P＜0.05）。结论无保护会阴接生可降低产妇会阴侧切率，同时也减轻产妇对分娩的恐惧，提高分娩舒适感，促进产妇产后的身心康复。
目的：探討無保護會陰接生技術對初產婦會陰側切率和產後疼痛的影響。方法將500例初產婦按入院時間的不同分為2組，每組250例。2013年3-11月入院產婦為觀察組，2012年7月至2013年2月入院的產婦為對照組。對照組產婦採用傳統接生技術分娩；觀察組產婦採用會陰無保護接生技術分娩。觀察比較2組產婦會陰切開率，術後＜48 h 會陰水腫、裂傷程度及疼痛等情況。結果對照組會陰側切率為66.0%，觀察組會陰側切率為30.4%，對照組明顯高于觀察組（P＜0.05）。2組均未齣現會陰Ⅲ度裂傷。2組產婦產後＜48 h 會陰水腫程度比較差異無統計學意義（P＞0.05），會陰疼痛級彆分佈上觀察組（0級45例、Ⅰ級113例）明顯優于對照組（0級20例、Ⅰ級96例）（P＜0.05）。結論無保護會陰接生可降低產婦會陰側切率，同時也減輕產婦對分娩的恐懼，提高分娩舒適感，促進產婦產後的身心康複。
목적：탐토무보호회음접생기술대초산부회음측절솔화산후동통적영향。방법장500례초산부안입원시간적불동분위2조，매조250례。2013년3-11월입원산부위관찰조，2012년7월지2013년2월입원적산부위대조조。대조조산부채용전통접생기술분면；관찰조산부채용회음무보호접생기술분면。관찰비교2조산부회음절개솔，술후＜48 h 회음수종、렬상정도급동통등정황。결과대조조회음측절솔위66.0%，관찰조회음측절솔위30.4%，대조조명현고우관찰조（P＜0.05）。2조균미출현회음Ⅲ도렬상。2조산부산후＜48 h 회음수종정도비교차이무통계학의의（P＞0.05），회음동통급별분포상관찰조（0급45례、Ⅰ급113례）명현우우대조조（0급20례、Ⅰ급96례）（P＜0.05）。결론무보호회음접생가강저산부회음측절솔，동시야감경산부대분면적공구，제고분면서괄감，촉진산부산후적신심강복。
Objective To investigate the effects of unprotected perineum delivery technique on episiotomy rate and postpartum pain in primiparas. Methods Five hundred primiparas were divided into two groups according to admission time, with 250 primiparas in each group. Primiparas in observation group(from March 2013 to November 2013)and control group(from July 2012 to February 2013)received traditional delivery technique and unprotected perineum delivery technique, respectively. Episiotomy rate, perineal edema within 48 hours after operation, laceration degree and perineal pain were compared between the two groups. Results The episiotomy rate in control group was significantly higher than that in observation group (66.0% vs 30.4%,P<0.05).No grade Ⅲ perineal laceration occu-rred in both groups, and no significant difference in the degree of perineal edema within 48 hours after operation was found between the two groups (P>0.05). The grade 0 and Ⅰ perineal pain, respectively, occurred in 45 and 113 primiparas in observation group, and in 20 and 96 primiparas in control group. There were significant differences in the incidence of grade 0 and Ⅰ perineal pain between the two groups (P<0.05). Conclusion Unprotected perineum delivery technique can reduce episiotomy rate, relieve maternal fear of childbirth,increase delivery comfort,and promote postpartum physical and mental rehabilitation.
