改良式会阴侧切术514例临床应用及效果观察.docVIP

改良式会阴侧切术514例临床应用及效果观察 　　【摘 要】目的：探讨初产妇应用改良式会阴侧切术进行自然分娩的临床效果。方法：选取我院产科行阴道分娩的初产妇514例，随机分至观察组和对照组各257例，观察组患者行改良式会阴侧切术，对照组患者行传统会阴侧切术，比较两组患者会阴切口愈合情况、术后疼痛分级、撕裂伤发生情况、术后住院时间。结果：观察组患者Ⅱ级愈合占2.33%，对照组患者Ⅱ级愈合及伤口感染占7.39%，观察组患者伤口愈合情况明显优于对照组（P0.05）；观察组患者术后疼痛明显轻于对照组（P0.05）。观察组撕裂伤发生率为21.01%，对照组为47.47%，观察组患者撕裂伤发生率明显低于对照组（P0.05）。观察组患者术后平均住院时间为（3.24±1.21）d，对照组为（4.82±1.19）d，观察组患者术后平均住院时间明显短于对照组，两组间存在显著性差异（P0.05）。结论：进行25°～30°改良式会阴侧切术，可减轻产妇产后疼痛，降低撕裂伤发生率，改善伤口愈合情况，缩短术后住院时间。 　　【关键词】改良式会阴侧切术；传统会阴侧切术；自然分娩；疗效 　　Clinical application and effect observation of modified lateral episiotomy in 514 cases 　　【Abstract】 Objective： To evaluate the clinical results of primipara application improved episiotomy natural childbirth. Methods： 514 cases of primipara in our hospital underwent vaginal delivery， randomized to observation group and 257 cases in the control group， the observation group were treated with modifi ed lateral episiotomy， patients in the control group underwent conventional lateral episiotomy，situation of two groups were compared， the healing of perineal incision pain， hospitalization time after class tear injury， postoperative. Results： the patients in the observation groupⅡhealing accounted for 2.33%， the patients of control groupⅡhealing and wound infection was 7.39%， the observation group patients wound healing was signifi cantly better than the control group （ P 0.05 ）； the observation group patients postoperative pain was signifi cantly lower than that in the control group （ P 0.05 ）. The observation group laceration incidence rate was 21.01%， 47.47% in the control group， patients in the observation group laceration incidence was signifi cantly lower than that of the control group （ P 0.05 ）. In the observation group， the average postoperative hospital stay was （ 3.24 ±1.21 ） d， the control group （ 4.82± 1.19） d， patients in the observation group the average postoperative hospitalization time was shorter than the control group， there was signifi cant difference between the two g