摘要
目的:探讨孕期实施盆底门诊干预在足月初产妇阴道分娩中的应用效果。方法:将成都市龙泉驿区第一人民医院2021年1月至12月建卡有顺产意愿的单胎初产妇按照建档顺序单双数分组:单数组进行产科门诊常规管理及盆底门诊干预(凯格尔运动联合会阴按摩)200例(研究组),双数组进行常规产科门诊管理200例(对照组),比较两组阴道炎发生率、剖宫产率、阴道分娩率、产科裂伤情况、阴道助产率、会阴切开情况、分娩结局及分娩前及产后42天会阴体、生殖裂孔长度、阴道宽度及其他阴道分娩并发症(尿潴留和产褥期痔)等情况。结果:最终研究组纳入87例,对照组104例。研究组会阴切开率、会阴完整率、阴道助产率、会阴Ⅰ度和Ⅱ度裂伤率、产后出血量均优于对照组(P<0.05),研究组产后42天生殖裂孔长度短于对照组,差异有统计学意义(P<0.05);两组阴道炎发生率、第二产程时间、阴道壁裂伤率、新生儿Apgar评分、新生儿产伤率、尿潴留和产褥期痔、产后阴道宽度及会阴体长度比较,差异无统计学意义(P>0.05)。结论:孕期实施盆底门诊干预可在一定程度上减轻足月初产妇经阴道分娩造成的伤害,并且未增加新生儿分娩并发症,值得临床推广。
Objective:To explore the application effect of pelvic floor outpatient intervention during pregnancy on vaginal delivery of full-term primiparous women.Methods:Single birth primipara who were willing to establish a card and have a desire to give birth naturally in the First People′s Hospital of Longquanyi District from January 2021 to December 2021 were divided into odd and even number groups according to the order of filing:the odd group received routine obstetric outpatient management and pelvic floor outpatient intervention(Kegel exercise joint perineum massage)in 200 cases(research group),and even number group received routine obstetric outpatient management in 200 cases(control group).The incidence of vaginitis,cesarean section rate,vaginal delivery rate,obstetric laceration,vaginal midwifery rate,perineal incision,delivery outcome and the length of perineal body and reproductive hiatus before and 42 days after delivery,vaginal width andother vaginal delivery complications(urinary retention and puerperal hemorrhoids)were compared between the two groups.Results:87 cases were included in the final study group,while 104 cases were included in the control group.The perineal incision rate,perineal integrity rate,vaginal midwifery rate,I degree and II degree perineal laceration rate,postpartum hemorrhage in the study group were better than those in the control group(P<0.05).The length of reproductive hiatus 42 days after delivery in the study group was shorter compared with that in the control group(P<0.05).There were no significant differences in the incidence of vaginitis,cesarean section rate,time of the second stage of labor,vaginal wall laceration rate,Apgar score of newborns neonatal birth trauma rate,urinary retention,puerperal hemorrhoids,postpartum vaginal width and perineal body length between the two groups(P>0.05).Conclusions:Pelvic floor outpatient intervention during pregnancy can reduce the harm caused by vaginal delivery in full-term primiparas to a certain extent,and does not increase the incidence of neonatal delivery complications,it is worthy of clinical promotion.
作者
周隽
毛胜艳
林春霞
何国琳
苗娅莉
唐佳
ZHOU Jun;MAO Shengyan;LIN Chunxia(Department of Obstetrics,the First People′s Hospital of Longquanyi District,Longquan Hospital,West China Hospital,Sichuan University,Chengdu Sichuan 610100,China)
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2024年第5期405-408,共4页
Journal of Practical Obstetrics and Gynecology
基金
2022年四川省医学会科研课题(编号:S22001)。
关键词
盆底门诊
足月初产妇
阴道分娩
凯格尔运动
会阴按摩
Pelvic floor outpatient clinic
Term primipara
Vaginal delivery
Kegel exercises
Perineal massage
