中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
25期
87-89
,共3页
无保护会阴接生法%会阴侧切%分娩
無保護會陰接生法%會陰側切%分娩
무보호회음접생법%회음측절%분면
Unprotected perineal delivery%Lateral episiotomy%Delivery
目的：比较无保护会阴接生法与会阴侧切接生法的临床效果。方法选取2014年1~12月本院收治的101例产妇作为研究对象，所有产妇均为阴道分娩。将其随机分为侧切组(39例)和无保护组(62例)。侧切组采用会阴侧切传统托肛会阴保护接生法，无保护组采用无保护会阴接生法。比较两组的第二产程时间、Apgar评分、产时出血量、会阴伤口疼痛肿胀程度、会阴伤口愈合情况。结果两组的第二产程时间、Apgar评分、产时失血量比较，差异无统计学意义(P跃0.05)。无保护组第1天的会阴伤口疼痛肿胀程度显著低于侧切组，差异有统计学意义(P<0.05)。无保护组的会阴愈合情况显著优于侧切组，差异有统计学意义(P<0.05)。结论无保护会阴接生法不会增加第二产程时间、对新生儿结局无不良影响，且能减轻产妇的会阴伤口疼痛肿胀程度，愈合时间较快，值得临床推广应用。
目的：比較無保護會陰接生法與會陰側切接生法的臨床效果。方法選取2014年1~12月本院收治的101例產婦作為研究對象，所有產婦均為陰道分娩。將其隨機分為側切組(39例)和無保護組(62例)。側切組採用會陰側切傳統託肛會陰保護接生法，無保護組採用無保護會陰接生法。比較兩組的第二產程時間、Apgar評分、產時齣血量、會陰傷口疼痛腫脹程度、會陰傷口愈閤情況。結果兩組的第二產程時間、Apgar評分、產時失血量比較，差異無統計學意義(P躍0.05)。無保護組第1天的會陰傷口疼痛腫脹程度顯著低于側切組，差異有統計學意義(P<0.05)。無保護組的會陰愈閤情況顯著優于側切組，差異有統計學意義(P<0.05)。結論無保護會陰接生法不會增加第二產程時間、對新生兒結跼無不良影響，且能減輕產婦的會陰傷口疼痛腫脹程度，愈閤時間較快，值得臨床推廣應用。
목적：비교무보호회음접생법여회음측절접생법적림상효과。방법선취2014년1~12월본원수치적101례산부작위연구대상，소유산부균위음도분면。장기수궤분위측절조(39례)화무보호조(62례)。측절조채용회음측절전통탁항회음보호접생법，무보호조채용무보호회음접생법。비교량조적제이산정시간、Apgar평분、산시출혈량、회음상구동통종창정도、회음상구유합정황。결과량조적제이산정시간、Apgar평분、산시실혈량비교，차이무통계학의의(P약0.05)。무보호조제1천적회음상구동통종창정도현저저우측절조，차이유통계학의의(P<0.05)。무보호조적회음유합정황현저우우측절조，차이유통계학의의(P<0.05)。결론무보호회음접생법불회증가제이산정시간、대신생인결국무불량영향，차능감경산부적회음상구동통종창정도，유합시간교쾌，치득림상추엄응용。
Objective To compare the clinical effect of unprotected perineal delivery and lateral episiotomy delivery. Methods 101 puerpera in our hospital from January 2014 to December 2014 were selected as research objects.All puerpera were given perineal delivery,and were divided into the lateral episiotomy group (39 puerpera) and the unpro-tected group (62 puerpera).The lateral episiotomy group was given perineal episiotomy and conventional perineal protec-tion delivery by supporting anus,the unprotected group was given unprotected perineal delivery.Time of the second stage of labor,Apgar scores,intrapartum hemorrhage,degree of pain and swelling of perineal wound,recovery of perineal wound in two groups was compared. Results There was no significant difference in time of the second stage of labor, Apgar score,intrapartum hemorrhage between two groups (P>0.05).Degree of pain and swelling of perineal wound in the first day in the unprotected group was lower than that in the lateral episiotomy group,with significant difference (P<0.05).The perineal wound healing in the unprotected group was better than that in the lateral episiotomy group,with significant difference(P<0.05). Conclusion Unprotected perineal delivery does not increase the time of the second stage of labor,has no adverse effects on neonatal outcome,which can alleviate the degree of pain and swelling of perineal wound,and has fast recovery time,it is worthy of clinical promotion and application.
