引用本文:林 蓝,林伟玲,许少敏.会阴切开和无保护会阴分娩法的对比分析[J].中国临床新医学,2018,11(5):439-441.
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会阴切开和无保护会阴分娩法的对比分析
林 蓝,林伟玲,许少敏
515800 广东,汕头市澄海区人民医院妇产科
摘要:
[摘要] 目的 探讨会阴切开和无保护会阴分娩法的价值和效果。方法 回顾性分析2015-04~2016-05于该院经阴道分娩产妇200例的临床资料,根据其分娩方式将其分为会阴切开组和无保护组,各100例。会阴切开组采用传统的保护会阴的接生方法进行接产,无保护组实施无保护会阴自然阴道分娩。对比分析两组产妇会阴裂伤程度及分娩后情况。结果 无保护组会阴裂伤程度明显低于会阴切开组,差异有统计学意义(P<0.05);两组产妇第2产程时间、新生儿Apgar评分无明显差异(P>0.05),无保护组产后2 h出血量低于会阴切开组,产妇满意度评分高于会阴切开组,差异有统计学意义(P<0.05)。结论 无保护会阴分娩法较会阴切开分娩,能减轻会阴裂伤程度,减少产后2 h出血量,同时提高产妇满意度,值得临床推广。
关键词:  会阴切开分娩法  无保护会阴分娩法  会阴裂伤
DOI:10.3969/j.issn.1674-3806.2018.05.08
分类号:R 714.3
基金项目:汕头市医疗科技计划项目(编号:20150406)
Comparative analysis of perineal incision and unprotected perineal childbirth
LIN Lan, LIN Wei-ling, XU Shao-min
Department of Gynecology and Obstetrics, the People′s Hospital of Chenghai District of Shantou City, Guangdong 515800, China
Abstract:
[Abstract] Objective To perform the comparative analysis of perineal incision and unprotected perineal childbirth.Methods A retrospective analysis of 200 cases of vaginal delivery in our hospital from April 2015 to May 2016 was preformed in this study. According to the different methods of delivery that the patients received, they were divided into the perineal incision group and the unprotected group, with 100 cases in each group. The perineal incision group received traditional protection of the perineal method and the unprotected group received unprotected perineum natural vaginal delivery. The degree of perineal rupture and the post-delivery results were compared between the two groups.Results The degree of perineum of the unprotected group was significantly less than that of the perineal incision group(P<0.05). There were no significant differences in the second delivery time and Apgar scores between the two groups(P>0.05). The postpartum 2 h blood loss of the unprotected group was significantly less than that of the perineal incision group(P<0.05), The maternal satisfaction scores of the unprotected group were significantly higher than those of the perineal incision group(P<0.05).Conclusion The unprotected perineal childbirth method reduces more degree of perineal fracture and more amount of postpartum 2 h blood loss and improves more maternal satisfaction than the perineal incision method.
Key words:  Perineal incision  Unprotected perineal childbirth  Perineal laceration