无保护会阴分娩技术用于初产妇会阴分娩的效果.docVIP

无保护会阴分娩技术用于初产妇会阴分娩的效果 　[摘要] 目的 分析初产妇会阴分娩使用无保护会阴分娩技术的效果。方法 随机选择2014年4月―2016年5月在该院产科进行正常分娩的初产妇60名为研究对象，按照有无会阴保护进行分组，对照组为常规阴道分娩（30名），观察组为无会阴保护分娩组（30名），比较两组产妇会阴完整及撕裂情况、产后尿潴留情况、会阴疼痛程度并评价母?虢峋帧＝峁? 分娩后比两组产妇的会阴情况，观察组会阴I度撕裂发生率为50.0%，显著高于对照组23.3%（P0.05），且观察组会阴切开发生率26.7%，显著低于对照组66.7%，差异有统计学意义（P0.05）；比较两组母婴结局，两组产后出血、新生儿窒息差异无统计学意义（P0.05），对照组尿潴留发生率13.3%，观察组尿潴留无尿潴留发生，组间差异有统计学意义（P0.05）；两组产妇产程及会阴疼痛比较，两组产程所用时间均差异无统计学意义，产后会阴疼痛比较，观察组第1、3天会阴疼痛评分依次为（6.85±1.69）分、（3.21±0.46）分，对照组依次为（7.96±1.64）分、（5.45±1.52）分，明显高于观察组，差异有统计学意义（P0.05）。结论 无保护会阴分娩术用于初产妇会阴分娩效果显著，可有效减少分娩时会阴撕裂程度及会阴侧切率，降低产后会阴疼痛情况，降低尿潴留发生，对患者及医院均具有良好的经济效益，值得借鉴。 本文采集自网络，本站发布的论文均是优质论文，供学习和研究使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除已转载的信息。 　[关键词] 会阴侧切；初产妇；会阴分娩 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0034-04 　　[Abstract] Objective To analyze the effect of unprotected perineum delivery technique in the perineal delivery of primipara. Methods Random selection 60 cases of primipara with normal delivery in our hospital from April 2014 to May 2016 were selected and divided into two groups with 30 cases in each according to whether the group had the perineal protection or not， the control group adopted the routine vaginal delivery， while the observation group adopted the unprotected perineum delivery technique， and the perineum integrity and laceration， postpartum retention of urine and perinaeum pain degree were compared between the two groups and the maternal and infant outcome was evaluated. Results After delivery， the incidence rate of perineum I degree laceration in the observation group was obviously higher than that in the control group（50.0% vs 23.3%）， （P0.05）， and the incidence rate of perineum incision in the observation group was obviously lower than that in the control group（26.7% vs 66.7%）， and the difference had statistical significance（P0.05）， and the differences in the postpartum hemorrhage and asphyxia neonatorum had no statistical significance（P0.05）