摘要
目的探讨产程中肛门检查和阴道检查对产妇及胎儿的影响。方法将临产产妇随机分为对照组(肛查组)和实验组(阴查组),每组50例,比较检查时产妇的舒适度和母婴感染情况。结果 2组在感觉上有明显差异(P<0.05),而在产褥感染、会阴切口感染及胎儿宫内窘迫、新生儿窒息方面比较均无统计学意义(P>0.05)。结论肛查带给产妇的不适感大于阴查;试产过程中在消毒外阴的条件下直接用阴查不增加母婴感染率,可以避免肛查的种种弊端,阴查可以取代肛查。
Objective To study the effect of anal examination and vaginal examination on pregnant women and fetus during labor. Methods Parturient women were divided into control group （anal examination） and examine group （vaginal examination）, 50 patients in each group. Then compared the comfort of pregnant women and infection of mothers and newborn. Results There is significantly differences in the feeling of pregnant women between the two groups （ P 〈 0.05 ）. However, there are no differences in those aspects of puerperal infection, perineum in- fection, fetal distress and newborn asphyxia（ P 〉 0.05 ）. Conclusion Anal examination give more uncomfortable than vaginal examination. Under the condition of the disinfection yulva, vaginal examination will not enhance the infection of mother and newborn and also could avoid the disadvantages. So, vaginal examination can replace anal examination.
关键词
肛查
阴查
产褥感染
新生儿感染
Anal Examination
Vaginal Examination
Puerperal Infection
Neonatal Infection
