摘要
目的探讨药物按摩在限制性会阴侧切中的临床应用效果。方法经阴道分娩初产妇520例,随机分为两组:研究组252例采用药物(硫酸阿托品+利多卡因)从上至下以螺旋方式按摩会阴体;对照组268例采用传统方法接生。比较两组产妇会阴裂伤情况、会阴侧切发生率、平均第二产程时间、产后2 h出血量、新生儿发生窒息率、产妇满意度调查及平均住院天数等情况。应用SPSS16.0软件,所获数据采用方差分析、t检验和X^2检验。结果两组会阴完整、Ⅰ度裂伤、侧切率及新生儿窒息的比较,P均<0.005;两组第二产程时间比较,P>0.05;两组产后2 h的出血与住院天数比较,P均<0.0005;两组产妇满意度比较,P<0.005。结论药物按摩会阴结合无创接生法能明显降低会阴侧切发生率,减少产后2 h的出血量,大幅度提高产妇满意度,符合分娩的自然原理,使产妇及新生儿得到有效的保护,能有效的应用于临床。
Objective To explore the clinical effect of drug massage in restrictive perineal side cutting. Methods We collected 520 cases of primipara through vaginal delivery and randomly divided them into two groups： 252 cases in the study group who were massaged perineum from top to bottom in spiral way with drugs of atropine sulfate and lidocaine; 268 cases in the control group using the traditional method of delivery. The perineal laceration, episiotomy rates, the average dura- tion of second birth process, haemorrhage amount 2 hours after delivery, neonatal asphyxia rate, maternal satisfaction survey- and the average hospitalization time were compared between the two groups. Using SPSS16.0 software, the data obtained were tested by variance analysis, t test and Z2 test. Results The comparison of perineal integrity, I degree laceration, side cutting rate and neonatal asphyxia between the two groups P were 〈0.005. The second birth processs time of the two groups was compared, P〉0.05. The comparison of haemorrhage amount 2 hours after delivery and hospitalization days between the two groups were P〈0.0005. Comparison of maternal satisfaction between the two groups was P〈0.005. Conclusion Perine- al massage combined with noninvasive delivering method can significantly reduce the incidence of episiotomy, reduce the bleeding amount 2 hours after delivery and improve maternal satisfaction degree, which is in line with the principle of natural childbirth and can effectively protect puerperant and newborn. It can be applied in clinical practice effectively.
出处
《菏泽医学专科学校学报》
2017年第4期58-60,共3页
Journal of Heze Medical College
关键词
会阴按摩
限制性会阴侧切
自然分娩
Perineal massage
Restrictive perineal side cutting
Natural birth
