CAJ | 학술논문

目的：探讨不同会阴侧切角度对产妇预后的影响。方法将行会阴侧切术的300例初产妇随机分为实验组和对照组，每组各150例。实验组行30°会阴切开术，对照组行45°会阴切开术。比较两组产妇切口缝合时间、产后坐起哺乳时间、住院天数，及切口疼痛、切口出血、切口愈合等情况。结果两组比较，实验组产妇切口缝合时间、产后坐起哺乳时间、住院天数，及切口疼痛、切口出血、切口愈合情况均明显优于对照组（ P＜0.05）。结论30°会阴侧切切口小、缝合快、坐起哺乳时间早、住院时间短、疼痛轻、出血少、愈合好，适用于大部分产妇，值得临床推广应用。
목적：탐토불동회음측절각도대산부예후적영향。방법장행회음측절술적300례초산부수궤분위실험조화대조조，매조각150례。실험조행30°회음절개술，대조조행45°회음절개술。비교량조산부절구봉합시간、산후좌기포유시간、주원천수，급절구동통、절구출혈、절구유합등정황。결과량조비교，실험조산부절구봉합시간、산후좌기포유시간、주원천수，급절구동통、절구출혈、절구유합정황균명현우우대조조（ P＜0.05）。결론30°회음측절절구소、봉합쾌、좌기포유시간조、주원시간단、동통경、출혈소、유합호，괄용우대부분산부，치득림상추엄응용。
Objective To study the different episiotomy angles affecting maternal outcomes.Methods Primipara 300 cases of line epi-siotomy technique were randomly divided into the experimental group and the control group (n=150).Line 30°episiotomy was done in the experimental group , and controls line 45 °episiotomy was done in the control group.Comparing maternal incision suture time , postpartum sitting up lactation time, hospitalization days, incision pain, and bleeding and healing of incision in the two groups.Results After the comparison of the two groups , the 30°episiotomy in incision suture time , postpartum maternal lactation time , hospitalization days , incision pain, bleeding and healing of incision are better than that in the control group (P<0.05).Conclusion There is 30°perineum side long piece, fast suture, sitting up early lactation time, shorter hospitalization time, less pain, less bleeding and good healing , so it is suitable for most women, and is worthy of clinical popularization and application.