CAJ | 학술논문

【目的】分析自然分娩产妇产后会阴部疼痛。【方法】选择自然生产的产妇120例,记录产妇产后的会阴部创伤情况,新生儿分娩时的胎方位及胎儿体重,采用视觉模拟评分法(VAS)对产后1 d 和产后4 d的会阴部疼痛情况进行评分。【结果】VAS 评分中,产妇产后1 d 的会阴部疼痛发生率较高,疼痛发生率为88.33%(106/120),中重度疼痛发生率25.00%；产后4 d 会阴部疼痛发生率为25.00%(30/120),中重度疼痛比例为1.67%；120例产妇中,16例产妇会阴部完好无损,53例产妇为Ⅰ、Ⅱ撕裂；51例产妇会阴部疼痛的危险因素分析：硬膜外分娩镇痛、自发撕裂、初产妇及会阴侧切的产妇更易出现会阴部疼痛。【结论】自然分娩产妇中会阴部疼痛情况较为常见,但是疼痛程度相对较轻,且产妇的会阴部疼痛与产妇的会阴侧切、硬膜外分娩镇痛等密切相关。
【목적】분석자연분면산부산후회음부동통。【방법】선택자연생산적산부120례,기록산부산후적회음부창상정황,신생인분면시적태방위급태인체중,채용시각모의평분법(VAS)대산후1 d 화산후4 d적회음부동통정황진행평분。【결과】VAS 평분중,산부산후1 d 적회음부동통발생솔교고,동통발생솔위88.33%(106/120),중중도동통발생솔25.00%；산후4 d 회음부동통발생솔위25.00%(30/120),중중도동통비례위1.67%；120례산부중,16례산부회음부완호무손,53례산부위Ⅰ、Ⅱ시렬；51례산부회음부동통적위험인소분석：경막외분면진통、자발시렬、초산부급회음측절적산부경역출현회음부동통。【결론】자연분면산부중회음부동통정황교위상견,단시동통정도상대교경,차산부적회음부동통여산부적회음측절、경막외분면진통등밀절상관。
[Objective]To analyze the postpartum perineum pain status of natural delivery women.[Meth-ods]One hundred and twenty cases of maternal perineal trauma records were selected in the natural production in our hospital,Perineal trauma,fetal position and fetal body weight were recorded during the period of deliv-ery ,and visual analogue scale (VAS)was used to score perineum pain status 1 day and 4 days after delivery.[Results]In the VAS score,1d postpartum the incidence of perineal pain was fairly high 88.33% (106/120), moderate and severe pain rate was 25%;4 d postpartum the incidence rate of perineal pain was 25.00%(30/120),the moderate and severe pain rate was 1.67%;In 120 cases,1 6 cases were in good condition,and 53 ca-ses were in Ⅰ、Ⅱperineum laceration;Maternal risk factors analysis of 5 1 cases of perineal pain:Epidural la-bor analgesia,spontaneous tearing,primipara and side cut maternal are more likely to appear perineal pain.[Conclusion]In natural childbirth puerpera perineal pain is common,but the degree is relatively light,and ma-ternal perineal pain is closely related with maternal side cut,epidural labor analgesia,etc.