探讨正常分娩会阴标准评分表设计及在无保护会阴接生中应用.docVIP

探讨正常分娩会阴标准评分表设计及在无保护会阴接生中应用 　　[摘要] 目的 探讨正常分娩会阴标准评分表的设计及在无保护会阴接生中的应用。方法 选取2014年1―10月在该院住院分娩的足月、单胎、头位、无并发症初产妇5 600例为观察组，助产士应用会阴标准评分表进行会阴评分，其中9分可以不做会阴切开。选取2013年1―10月在我院住院分娩的足月、单胎、头位、无并发症初产妇5 100例为对照组，助产士依靠个人经验估计不做会阴切开，两者均采取无保护会阴接生法；比较两组产妇会阴侧切率及会阴裂伤程度。结果 观察组有2 850例未行会阴侧切（50.9%）；会阴完整、Ⅰ、Ⅱ分别为810（28.4%）、1 770（62%）、270（9.6%），对照组1 800例未行会阴侧切（35.3%），会阴完整、Ⅰ、Ⅱ裂伤分别为498（27.7%）、965（53.6%）、337（18.7%），两组均无Ⅲ会阴裂伤。两组比较，观察组会阴侧切率、会阴Ⅱ裂伤率显著下降，差异有统计学意义（P0.05）。会阴标准评分后得分越高，会阴裂伤率越少，裂伤程度越轻。 结论 采用会阴标准评分体系指导无保护会阴接生，可降低会阴侧切率，减轻初产妇会阴裂伤程度，值得应用与推广。 　　[关键词] 初产妇；会阴标准评分表；无保护会阴接生；会阴裂伤 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-0742（2016）05（a）-0045-03 　　[Abstract] Objective To study the design of normal labor perineal standard scoring table in the unprotected perineum delivery. Methods 5 600 cases of full-term， singleton， heading and non-complication primiparas for delivery in our hospital from January 2014 to October 2014 were selected as the observation group， and the patients were given perineal score by midwives according to the perineal standard scoring table， and the patients whose perineal score9 marks need not giving episiotomy； 5 100 cases of full-term， singleton， heading and non-complication primiparas for delivery in our hospital from January 2013 to October 2013 were selected as the control group， and they need not giving episiotomy by estimation of the midwives according to their personal experience， both groups adopted the unprotected perineum delivery method， and the lateral episiotomy rate and perineal laceration degree were compared between the two groups. Results In the observation group， 2 850 cases were not given episiotomy （50.9%）， perineal completion，Ⅰlaceration and Ⅱ laceration respectively occurred to 810 （28.4%）， 1770 （62%） and 270 （9.6%）， in the control group， 1 800 cases were not given episiotomy （35.3%）， perineal completion，Ⅰlaceration and Ⅱ laceration respectively occurred to 498 （27.7%）， 965 （53.6%） and 337 （18.7%）， both groups had no Ⅲ perineal laceration， the lateral episi