中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
5期
34-36,37
,共4页
娩出胎儿%方法%产妇%会阴损伤
娩齣胎兒%方法%產婦%會陰損傷
면출태인%방법%산부%회음손상
Expulsion of fetus%Method%Maternal%Perineum injury
目的：观察两种娩出胎儿方法对产妇会阴损伤的影响。方法：选择两组助产士在2013年第4季度接产的420例产妇作为研究对象。观察组助产士接产214例产妇，在接产过程中，严格控制会阴侧切，在产妇体位，用力时机和技巧，保护会阴手法上加以改进。对照组助产士接产206例产妇，在接产过程中，几乎常规会阴侧切，以传统体位，产妇宫颈口全开即指导产妇竭尽全力用力，传统手法保护会阴。结果：观察组产妇会阴侧切率明显降低，会阴深度裂伤、会阴血肿、水肿、感染和会阴伤口愈合不良发生率明显下降，会阴伤口出血量较少，产妇产后会阴舒适感明显优于对照组，差异有统计学意义（P<0.05）。结论：观察组娩出胎儿的方法可大大减轻产妇的会阴损伤，提高产妇会阴舒适感。
目的：觀察兩種娩齣胎兒方法對產婦會陰損傷的影響。方法：選擇兩組助產士在2013年第4季度接產的420例產婦作為研究對象。觀察組助產士接產214例產婦，在接產過程中，嚴格控製會陰側切，在產婦體位，用力時機和技巧，保護會陰手法上加以改進。對照組助產士接產206例產婦，在接產過程中，幾乎常規會陰側切，以傳統體位，產婦宮頸口全開即指導產婦竭儘全力用力，傳統手法保護會陰。結果：觀察組產婦會陰側切率明顯降低，會陰深度裂傷、會陰血腫、水腫、感染和會陰傷口愈閤不良髮生率明顯下降，會陰傷口齣血量較少，產婦產後會陰舒適感明顯優于對照組，差異有統計學意義（P<0.05）。結論：觀察組娩齣胎兒的方法可大大減輕產婦的會陰損傷，提高產婦會陰舒適感。
목적：관찰량충면출태인방법대산부회음손상적영향。방법：선택량조조산사재2013년제4계도접산적420례산부작위연구대상。관찰조조산사접산214례산부，재접산과정중，엄격공제회음측절，재산부체위，용력시궤화기교，보호회음수법상가이개진。대조조조산사접산206례산부，재접산과정중，궤호상규회음측절，이전통체위，산부궁경구전개즉지도산부갈진전력용력，전통수법보호회음。결과：관찰조산부회음측절솔명현강저，회음심도렬상、회음혈종、수종、감염화회음상구유합불량발생솔명현하강，회음상구출혈량교소，산부산후회음서괄감명현우우대조조，차이유통계학의의（P<0.05）。결론：관찰조면출태인적방법가대대감경산부적회음손상，제고산부회음서괄감。
Objective:To observe the effects of two kinds expulsion of fetus on maternal perineum injury. Method:420 cases of pregnant in the fourth quarter of 2013 were selected as the object of study. 214 cases of pregnant were selected as the observation group,in the production process,episiotomy was controlled strictly by improving maternal posture,force time and skills,and techniques of protecting perineum.206 cases of pregnant were selected as control group,in the production process,episiotomy was carried out almost with traditional posture,maternal cervix mouth open guiding the maternal strain every nerve force,and traditional methods of protecting perineum. Result:The episiotomy rate of observation group was decreased obviously,the incidence of perineum deep laceration,hematoma, edema,infection,and bad wound healing were decreased obviously. Perineum wound less bleeding,postpartum perineum were comfort significantly better than that of the control group,the differences were statistically significant(P<0.05). Conclusion:Delivery method of observation group can decrease perineum damage greatly,and improve maternal perineum comfortable sensation.
