CAJ | 학술논문

目的：通过与传统助产法比较，分析改良保护会阴无创助产法对母儿结局的影响。方法第二产程自胎头着冠达到需要进行会阴保护时起，将初产妇856例分为观察组420例(改良保护会阴无创助产法)和对照组436例(传统保护会阴助产法)。结果两组的会阴Ⅰ、Ⅱ度裂伤发生率、会阴不明显水肿率、会阴轻度水肿率及会阴伤口疼痛天数相比差异均有统计学意义(P<0.05)。结论改良保护会阴无创助产法有助于降低Ⅰ、Ⅱ度会阴裂伤及会阴水肿的发生率，减少患者产后会阴伤口疼痛天数，促进患者产后康复。
목적：통과여전통조산법비교，분석개량보호회음무창조산법대모인결국적영향。방법제이산정자태두착관체도수요진행회음보호시기，장초산부856례분위관찰조420례(개량보호회음무창조산법)화대조조436례(전통보호회음조산법)。결과량조적회음Ⅰ、Ⅱ도렬상발생솔、회음불명현수종솔、회음경도수종솔급회음상구동통천수상비차이균유통계학의의(P<0.05)。결론개량보호회음무창조산법유조우강저Ⅰ、Ⅱ도회음렬상급회음수종적발생솔，감소환자산후회음상구동통천수，촉진환자산후강복。
Objective To analyze influence of modified perineum protection noninvasive midwifery method on maternal and neonatal outcomes, by comparing with traditional midwifery method. Methods A total of 856 primipara in need of perineum protection when crowning of fetal head at the second stage of labor were divided into observation group with 420 cases (received modified perineum protection noninvasive midwifery method) and control group with 436 cases (received traditional perineum protection midwifery method). Results There were statistically significant differences in incidences of perineal Ⅰ and Ⅱ degree laceration, perineal inapparent oedema, perineal mild oedema, and wound pain time between the two groups (P<0.05). Conclusion Modified perineum protection noninvasive midwifery method is helpful to reducing incidences of perineal Ⅰ and Ⅱ degree laceration and perineal oedema, decreasing postpartum perineum pain time, and accelerating postpartum rehabilitation.