【摘要】：目的探討無保護(hù)會陰接生法臨床應(yīng)用的效果。方法回顧性分析2014年10月至12月在西安市第四醫(yī)院產(chǎn)科的885例自然分娩的健康初產(chǎn)婦臨床資料,分為采用控制胎頭娩出速度,無保護(hù)會陰分娩的初產(chǎn)婦345例作為觀察組,采用傳統(tǒng)接生法分娩的初產(chǎn)婦540例作為對照組。比較兩組產(chǎn)婦會陰裂傷程度、產(chǎn)時出血量、新生兒窒息、新生兒體重及產(chǎn)婦滿意率的差異。結(jié)果觀察組產(chǎn)婦會陰完整率、Ⅰ度裂傷比率分別為13.04%、77.97%,顯著高于對照組,而會陰側(cè)切和Ⅱ度裂傷率顯著低于對照組,差異均有統(tǒng)計(jì)學(xué)意義(χ2值分別為131.09、4.67、127.19、14.18,均P0.05)。觀察組產(chǎn)婦滿意度顯著高于對照組(χ2=24.74,P0.05),而產(chǎn)時出血量顯著低于對照組(t=-11.91,P0.05),兩組新生兒窒息發(fā)生率無顯著性差異(χ2=0.06,P0.05),新生兒體重?zé)o顯著性差異(t=1.28,P0.05)。結(jié)論無保護(hù)會陰接生法可提高初產(chǎn)婦會陰完整率,減輕了產(chǎn)婦會陰損傷的程度,降低會陰側(cè)切率,減少產(chǎn)時出血,無明顯的不良分娩結(jié)局,提高產(chǎn)婦滿意度和助產(chǎn)技術(shù),值得臨床推廣。
[Abstract]:Objective to investigate the clinical effect of unprotected perineal grafting. Methods the clinical data of 885 healthy parturients with natural delivery in Xi'an fourth Hospital from October to December 2014 were analyzed retrospectively. the parturients who controlled the delivery rate of fetal head and did not protect perineal delivery were used as observation group. 540 parturients delivered by traditional delivery method were used as the control group. The degree of parturient and perineal laceration, the amount of bleeding during delivery, neonatal asphyxia, neonatal weight and maternal satisfaction rate were compared between the two groups. Results the perineal integrity rate of parturients in the observation group was 13.04% and 77.97%, respectively, which was significantly higher than that in the control group, while the perineal lateral incision and second degree laceration rates were significantly lower than those in the control group. The difference was statistically significant (蠂 2 = 131.09, 4.67127.19, 14.18, P 0.05). The satisfaction of parturients in the observation group was significantly higher than that in the control group (蠂 2 鈮，

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