CAJ | 학술논문

目的：探讨会阴无保护接生技术在产妇会阴裂伤情况及疼痛的效果。方法：回顾性分析1052例产妇，正常阴道分娩者，分为对照组和观察组，对照组采用传统会阴保护接生技术，观察组采用会阴无保护接生技术，分析两组在会阴裂伤情况及产痛上的差异。结果：观察组会阴侧切率明显低于对照组（P<0.05）,会阴裂伤在0级和Ⅲ级比较无统计学差异（P>0.05），Ⅰ级、Ⅱ级明显低于对照组（P<0.05），观察组疼痛Ⅰ级、Ⅱ级、Ⅲ级明显低于对照组。结论：会阴无保护接生技术对于减少产妇会阴裂伤程度、减少侧切率以及改善产妇产痛方面有较好的临床效果，值得推广。
목적：탐토회음무보호접생기술재산부회음렬상정황급동통적효과。방법：회고성분석1052례산부，정상음도분면자，분위대조조화관찰조，대조조채용전통회음보호접생기술，관찰조채용회음무보호접생기술，분석량조재회음렬상정황급산통상적차이。결과：관찰조회음측절솔명현저우대조조（P<0.05）,회음렬상재0급화Ⅲ급비교무통계학차이（P>0.05），Ⅰ급、Ⅱ급명현저우대조조（P<0.05），관찰조동통Ⅰ급、Ⅱ급、Ⅲ급명현저우대조조。결론：회음무보호접생기술대우감소산부회음렬상정도、감소측절솔이급개선산부산통방면유교호적림상효과，치득추엄。
Objective:To study the Clinical efficacy of Unprotected Perineum Delivery Technique, to observe the effect of Unprotected Perineum Delivery Technique in Maternal perineal laceration and pain. Methods:This retro-spective analysis study comprised 1052 normal vaginal delivery of maternal which divided into two groups, The con-trol group was received protected Perineum Delivery Technique, while the experimental group was received unpro-tected Perineum Delivery Technique, the clinical outcome such as maternal perineal laceration and pain were evalu-ated between two groups. Results:Episiotomy rate in the experimental group was significantly lower than the control group (P<0.05), Perineal laceration on 0 andⅢlevel was no significant difference ( P>0.05),while the gradeⅠ,Ⅱlevel was significantly lower than the control group ( P<0.05),and Pain in the experimental group was significantly low-er than the control group. Conclusion:Unprotected Perineum Delivery Technique is effective for the reduction of ma-ternal degree perineal laceration and episiotomy rate, and improving maternal labor pain, which has desirable clinical effect and is worthy of popularization.