减少会阴侧切在母婴同室中效果分析-本科论文.doc

护理.doc 中图分类号：???????????????????????????????????????????单位代号： 密??????级：??????????????????????????????????学???号：???????????????????????????????????????????????????????????????? ???本科实习论文 ? 题目:减少会阴侧切在母婴同室中的效果分析 ? ? 作????者：????????? 学科专业：??????护??理?????? 班级学号：??? ? ???????? ???????????????? 摘????要 ??目的?通过观察自然分娩以及会阴侧切对母婴的影响，探讨自然分娩的必要性。??方法?选取2012年3月至10月南京大学医学院附属鼓楼医院经阴道顺娩，单胎且无并发症的初产妇为研究对象，按是否行会阴侧切分为2组，其中会阴侧切组200例，未侧切组200例，进行回顾性分析，比较会阴侧切组与未侧切组在疼痛与活动，满意度的差异，母乳喂养频率与体位。??结果?未侧切组轻度疼痛130人，占65 %,轻度疼痛最多。会阴侧切组中度116人，其中中度58%，中度疼痛占大部分；未侧切组满意度是100%,会阴侧切组满意度是91%,在满意度方面，未侧切组优于会阴侧切组；未侧切组喂养频率平均每天喂养8-10次最多，以坐位喂养为主。会阴侧切组喂养的频率6-8次/24h的最多，以半坐卧位为主。P值0.05,具有统计学意义。?结论?应积极推行自然分娩，限制减少会阴侧切术的应用，可减轻产妇疼痛，促进产后康复，有利于母婴的身心健康。 ? ? 关键词?：?自然分娩，会阴侧切 ，母婴影响ABSTRACT Objective:?By observing the natural birth and the influence of episiotomy on maternal and infant,?we?discuss?the necessity of natural?childbirth.?Method:?selection?from?March 2012 to October of?Nanjing university medical school affiliated drum tower hospital translational suitable Mian, singletons and uncomplicated prim Para as the research object, according to whether the perineum side split to 2 groups, including the episiotomy group of 200 cases?and?200 cases?without side cut group, were retrospectively analyzed, comparison of episiotomy group and natural birth group in pain with activity, differences in satisfaction, breastfeeding frequency and position.?Result:?130 people have?natural birth group of mild pain, accounting?for 65%?and?mild pain?often do.?116 people have?moderate episiotomy group, with a moderate 58%?and most of them have moderate pain; Natural birth groupwho has?satisfaction?is?100%?and?degree of episiotomy group?is?91%, in terms of satisfaction, natural birth group is better than that of episiotomy group; Natural birth group feeding frequency feed 8 to 10 times a day on average, most seats feed primarily. Episiotomy group?is?feeding frequency of 6-8 times / 24 h, semi-fowler primarily. P values 0.05, with statistical signif