基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2015年
12期
1586-1587,1588
,共3页
低危产妇%会阴切开%限制性%会阴按摩%会阴局麻
低危產婦%會陰切開%限製性%會陰按摩%會陰跼痳
저위산부%회음절개%한제성%회음안마%회음국마
Low-risk women%Perineum incision%Ristriction%Perineum perineal massage%Perineal anesthesia
目的：探讨在基层医院低危初产妇正常产中实行限制性会阴切开的可行性和安全性。方法将低危初产妇按随机抽签法预先分配到试验组和对照组，试验组120例，实行限制性会阴切开；对照组61例，实行常规会阴侧切。主要记录限制会阴切开的方法，阴道裂伤程度，产时出血，婴儿Apgar评分情况。结果试验组会阴切开率为18%，对照组为87%，对比差异有统计学意义；Ⅰ度裂伤对比差异有统计学意义，Ⅱ度裂伤差异无统计学意义，2组均未出现Ⅲ度裂伤。结论基层医院低危初产妇采用多种措施实施限制性会阴切开，可降低会阴裂伤的发生率及程度。
目的：探討在基層醫院低危初產婦正常產中實行限製性會陰切開的可行性和安全性。方法將低危初產婦按隨機抽籤法預先分配到試驗組和對照組，試驗組120例，實行限製性會陰切開；對照組61例，實行常規會陰側切。主要記錄限製會陰切開的方法，陰道裂傷程度，產時齣血，嬰兒Apgar評分情況。結果試驗組會陰切開率為18%，對照組為87%，對比差異有統計學意義；Ⅰ度裂傷對比差異有統計學意義，Ⅱ度裂傷差異無統計學意義，2組均未齣現Ⅲ度裂傷。結論基層醫院低危初產婦採用多種措施實施限製性會陰切開，可降低會陰裂傷的髮生率及程度。
목적：탐토재기층의원저위초산부정상산중실행한제성회음절개적가행성화안전성。방법장저위초산부안수궤추첨법예선분배도시험조화대조조，시험조120례，실행한제성회음절개；대조조61례，실행상규회음측절。주요기록한제회음절개적방법，음도렬상정도，산시출혈，영인Apgar평분정황。결과시험조회음절개솔위18%，대조조위87%，대비차이유통계학의의；Ⅰ도렬상대비차이유통계학의의，Ⅱ도렬상차이무통계학의의，2조균미출현Ⅲ도렬상。결론기층의원저위초산부채용다충조시실시한제성회음절개，가강저회음렬상적발생솔급정도。
ObjectiveDiscussion on the grass-roots hospital low-risk primiparae in normal production, control episiotomy rate, the feasibility and safety of restrictive episiotomy.MethodLow-risk primiparae were assigned randomly to experimental group and control group, 120 cases of test group, the experimental group will be selected episiotomy with more strict assessment. And simultaneous production of 61 low-risk primiparae were compared with control group, the perineal conventional were cutted. The main methods were compared in two groups of vaginal laceration, hemorrhage, infant Apgar scores.ResultsThe rate of episiotomy in experimental group was 18%, in the control group was 87%, there was statistically significant difference between the groups.The first degree laceration in experimental group was greater than in contro group. The second degree laceration were of no statistic difference between the group, There were no case of third degree laceration of two groups.ConclusionIn the grass-roots hospital, low-risk primiparas with multi restrictions reduce degree perineal laceration of perineum incision .
