无创助产技术在临床应用中效果.docVIP

无创助产技术在临床应用中效果 　　【摘要】 目的：探讨无创助产技术在临床应用中的效果。方法：随机选取2016年1月-2017年1月笔者所在医院产科行阴道分娩的初产妇128例，根据患者意愿分为两组，对照组64例，采取传统助产技术辅助分娩，观察组64例，采取无创助产技术辅助分娩，比较两组第一产程、第二产程时间、分娩出血量、产后2 h出血量及新生儿并发症发生情况等，比较两组会阴水肿发生情况及会阴裂伤程度。结果：两组第一产程、第二产程时间、分娩出血量、产后2 h出血量及新生儿窒息发生率比较，差异无统计学意义（P0.05）；但观察组会阴水肿发生率低于对照组，且会阴裂伤程度相对较轻，差异有统计学意义（P0.05）。结论：无创助产技术能减少会阴裂伤程度，且对母婴结局无影响。 　　【关键词】 无创助产技术； 会阴裂伤； 母婴结局 　　doi：10.14033/j.cnki.cfmr.2017.13.011 文献标识码 B 文章编号 1674-6805（2017）13-0025-02 　　【Abstract】 Objective：To probe into the clinical application of noninvasive midwifery.Method：128 cases of primipara who underwent the vaginal delivery in the department of obstetrics in the author’s hospital from January 2016 to January 2017 were selected，and they were randomly divided into two groups according to their wishes.The 64 cases of control group were treated with traditional midwifery assisted delivery，while the others in the observation group were treated with noninvasive midwifery.Then，the first and second stage of labor time，postpartum bleeding，bleeding volume after delivery for 2 hours and the incidence rate of neonatal asphyxia were compared between the two groups.And the incidence of perineal edema and perineal laceration were compared too.Result：There were no significant differences in the first and second stage of labor time，postpartum bleeding，bleeding volume after delivery for 2 hours and the incidence rate of neonatal asphyxia between the two groups（P0.05）.However，the incidence of perineal edema in the observation group was slighter than that in the control group，and the degree of perineal laceration was relatively mild.The differences were statistically significant（P0.05）.Conclusion：The technology of noninvasive midwifery can reduce the degree of perineal laceration，and it has no influence on maternal and neonatal outcomes. 　　【Key words】 Noninvasive midwifery； Perineal laceration； Maternal outcome 　　First-author’s address：Maternal and Child Health-care Hospital of Ezhou，Ezhou 436000，China 　　?道分娩是女性正常的生理