改良式低位产钳术联合无保护会阴助产护理在初产妇中的应用效果.docVIP

改良式低位产钳术联合无保护会阴助产护理在初产妇中的应用效果 　　[摘要] 目的 探讨改良式低位产钳术联合无保护会阴助产护理在初产妇中的应用效果。 方法 选取本院2012年10月～2014年6月单胎初产妇214例，采用随机数字表法分为两组，每组107例。对照组采用改良式低位产钳术助产护理，观察组采用改良式低位产钳术联合无保护会阴助产护理，比较两组产妇的护理效果。 结果 观察组产妇第二产程、住院时间均明显短于对照组，产时出血量、产后出血量均明显少于对照组，新生儿Apgar评分明显高于对照组，并发症（会阴黏膜擦伤、Ⅰ度裂伤、Ⅱ度裂伤、尿潴留、感染）发生率明显低于对照组，差异有统计学意义（P0.05）。 结论 改良式低位产钳术联合无保护会阴助产护理能提高分娩质量，可明显缩短产程时间和恢复时间，创伤小且并发症少，值得临床推广应用。 　　[关键词] 改良式低位产钳术；无保护会阴；助产护理 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2015）05（c）-0176-03 　　[Abstract] Objective To discuss the application effects of nursing midwifery of modified low forceps delivery combined with unprotected perineum for primipara. Methods 214 primipara with single birth in our hospital from October 2012 to June 2014 were selected.They were assigned to two groups based on a random number table，107 patients in each group.Control group was given nursing midwifery of modified low forceps delivery，and observation group was given nursing midwifery of modified low forceps delivery combined with unprotected perineum.Nursing effects between two groups of primipara were compared. Results The second stage of labor，amount of bleeding during delivery，amount of bleeding after delivery and hospitalization time in observation group was significantly shorter or lower than that in control group respectively.Apgar scores was significantly higher than that in control group，and the incidences of complications（perineum abrasion，degree Ⅰ laceration，degree Ⅱ laceration，urinary retention and infections） was significantly lower than that in control group respectively，with statistical difference（P0.05）. Conclusion Nursing midwifery of modified low forceps delivery combined with unprotected perineum is able to improve the delivery quality，significantly shorter delivery time and recovery time，and has few injuries and less complications，which is worthy of clinical promotion and application. 　　[Key words] Modified low forceps delivery；Unprotected perineum；Nursing midwifery 　　低位产钳术是分娩较为常用的术式，可解决头位难产的问题，有助于