CAJ | 학술논문

目的：通过无保护分娩法及传统侧切法两种方法的对比来探讨无保护分娩应用于临床的效果。方法选取于我院2013年3月～2015年3月期间选择顺产的产妇共240名作为回顾性分析研究对象，将选择无保护分娩法的120例产妇为观察组，选取同期分娩的采用传统接生会阴侧切法产妇120例作为对照组。通过软产道裂伤程度、新生儿窒息、产后出血、产后伤口疼痛四个方面进行比较。结果观察组与对照组在软产道裂伤程度、新生儿窒息比较差异均无统计学意义（P＞0.05）。而两组在产后出血量、产后伤口疼痛两组比较有明显差异（P＜0.05）。结论无保护分娩法是一种安全可行的分娩方式，该技术可以很大程度降低会阴侧切率，有效减少会阴损伤出血、减轻产妇伤口疼痛及会阴侧切术对生活的影响，从而提高产妇的生活质量。
목적：통과무보호분면법급전통측절법량충방법적대비래탐토무보호분면응용우림상적효과。방법선취우아원2013년3월～2015년3월기간선택순산적산부공240명작위회고성분석연구대상，장선택무보호분면법적120례산부위관찰조，선취동기분면적채용전통접생회음측절법산부120례작위대조조。통과연산도렬상정도、신생인질식、산후출혈、산후상구동통사개방면진행비교。결과관찰조여대조조재연산도렬상정도、신생인질식비교차이균무통계학의의（P＞0.05）。이량조재산후출혈량、산후상구동통량조비교유명현차이（P＜0.05）。결론무보호분면법시일충안전가행적분면방식，해기술가이흔대정도강저회음측절솔，유효감소회음손상출혈、감경산부상구동통급회음측절술대생활적영향，종이제고산부적생활질량。
Objective Comparison of two methods of non protection delivery method and traditional side cut method to explore the clinical effect of unprotected delivery.Methods Selection on maternal our hospital in March 2013 to March 2015 during vaginal delivery women choose to 240 as a retrospective analysis of the study, will unprotected delivery of 120 cases of do as the observation group. At the same time were selected by traditional method in 120 cases as control group. The degree of soft birth canal laceration, neonatal asphyxia, postpartum hemorrhage, postpartum pain four aspects compared.ResultsThe observation group and the control group in the degree of soft birth canal laceration, neonatal asphyxia, the difference had no statistical signiifcance (P>0.05). While the two groups in the postpartum hemorrhage volume, postpartum wound pain, the two groups were significantly different (P<0.05).Conclusion Unprotected delivery method is a feasible and safe delivery, the technology can greatly reduce perineal resection rate, reduce the injury of perineum, reduce maternal wound pain and perineal side to cut operation effect of life, so as to improve the quality of life of women.