摘要
目的:探讨限制性会阴切开配合使用改良助产技术在临床中的应用。方法:选取2017年10月-2018年12月实施限制性会阴切开配合改良助产技术的产妇1566例为观察组;选取2016年10月-2017年9月采用传统接产法的产妇1520例为对照组。比较两组产妇会阴情况及母婴结局。结果:观察组会阴侧切率低于对照组,差异有统计学意义(P<0.05);对照组会阴Ⅰ度裂伤率低于观察组,差异有统计学意义(P<0.05);两组会阴完整率、会阴Ⅱ度裂伤率、宫颈裂伤率、产后出血率、新生儿轻度窒息率、新生儿重度窒息率及阴道助产率比较,差异无统计学意义(P>0.05)。结论:限制性会阴切开配合使用改良助产技术能降低产妇会阴侧切率,可减轻对孕产妇会阴损伤程度。
Objective:To explore the clinical application of limited perineum incision combined with improved midwifery.Methods:From October 2017 to December 2018,1566 parturients with limited perineum incision combined with improved midwifery were selected as the observation group;From October 2016 to September 2017,1520 parturients with traditional delivery method were selected as the control group.We compared the perineum and maternal and infant outcomes of the two groups.Results:The rate of episiotomy in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).In the control group,the rate of gradeⅠperineum laceration was lower than that in the observation group,the difference was statistically significant(P<0.05).There was no significant difference in the rate of perineum integrity,Ⅱdegree perineum laceration,cervical laceration,postpartum hemorrhage,neonatal mild asphyxia rate,neonatal severe asphyxia rate and vaginal delivery between the two groups(P>0.05).Conclusion:Clinical application of limited perineum incision combined with improved midwifery can reduce the rate of lateral episiotomy and the degree of perineum injury.
作者
母永芳
骆书菊
蒋德玉
何雪瑞
张燕艳
李明鲜
Mu Yongfang;Luo Shuju;Jiang Deyu;He Xuerui;Zhang Yanyan;Li Mingxian(Department of Obstetrics,Affiliated Hospital of Zunyi Medical University,Guizhou Zunyi 563000)
出处
《中国社区医师》
2020年第11期47-48,50,共3页
Chinese Community Doctors
关键词
限制性会阴切开
会阴侧切
改良助产技术
Limited perineum incision
Episiotomy
Improved midwifery technique
