不同会阴保护法对预防产妇会阴产伤效果分析.docVIP

不同会阴保护法对预防产妇会阴产伤效果分析 　　[摘要] 目的：探讨不同会阴保护法对预防会阴产伤的临床效果，为产妇提供更为有效的会阴保护方法，确保产妇产褥期安全。方法：回顾性分析2009年4月～2011年4月本院采用新式会阴保护法进行会阴保护的142例产妇的临床资料，并以同期采用传统会阴保护措施的142例产妇作为对照组，比较两组产妇产后1～2 d会阴伤口水肿的发生率和侧切加裂伤的发生率。结果：观察组会阴伤口水肿的发生率明显低于对照组，组间比较差异具有统计学意义（P＜0.05）；观察组侧切加裂伤的发生率低于对照组，组间比较差异具有统计学意义（P 　　[关键词] 分娩；会阴保护；产伤；预防效果；分析 　　[中图分类号] R473.71 [文献标识码] C [文章编号] 1674-4721（2011）12（b）-139-02 　　 　　Clinical effect analysis of prevention perineal maternal injuries used different protection methods 　　HUANG Shuwen 　　Department of Obstetrics and Gynecology, the Peoples Hospital of Luoding, Guangdong Province, Luoding 527200, China 　　[Abstract] Objective: To explore the clinical effect of prevention perineal maternal injuries used different protection methods, and to provide lying-in women with more effective perineal protection methods, ensure puerperium maternal safety. Methods: Retrospective analyszed the perineal protection for our new perineal protection of the clinical data of 142 cases of women from April 2009 to April 2011 in our hospital, and the same period to the traditional perineal protection measures of 142 cases of maternal as control group, compared with the incidence of side and wound edema cut and the incidence of torn in two groups postpartum 1 - 2 days after childbirth. Results: The incidence of perineal wound edema in observation group were obviously lower than the control group, the comparative differences between the two groups were statistically significant (P＜0.05); The patients side cut and laceration in observation group were lower than that of the control group, the incidences of comparative differences between the two groups were statistical significance (P 本文为全文原貌 未安装PDF浏览器用户请先下载安装 原版全文 　　1.3.2 会阴裂伤评定标准 会阴完整：会阴部皮肤及阴道黏膜完整无裂伤；Ⅰ度裂伤：会阴部皮肤及阴道入口黏膜撕裂，未达肌层，一般出血不多。Ⅱ度裂伤：指裂伤已达会阴体肌层，累及阴道后壁黏膜，甚至阴道后壁两侧沟向上撕裂，裂伤可不规则，出血较多。Ⅲ度裂伤：裂伤向下扩展，肛门外括约肌断裂。 　　1.4 统计学处理 　　采用SPSS 17.0统计处理软件对所得数据进行统计处理，计数资料组间比较采用χ2 检验，以P＜0.05为差异有统计学意义。 　　2 结果 　　2.1 产后两组会阴伤口情况比较 　　见表1。