摘要
目的分析无保护会阴接生联合会阴阻滞麻醉用于自然分娩的临床价值。方法选择2016年3月至2017年5月遵义医学院第五附属(珠海)医院接收的150例产妇为研究对象,依就诊顺序分为两组,每组75例。对照组产妇接受常规法生产,宫口开全后,平卧,利用传统保护会阴方式接生待产;观察组产妇开展无保护会阴接生联合会阴阻滞麻醉术生产。分析两组产程、产后出血、新生儿以及产后会阴情况,统计观察组体位选择情况。结果两组产妇第一产程时间及出血量比较,差异无统计学意义(P>0.05),第二产程时间观察组较对照组缩短,差异有统计学意义(P<0.05)。两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。相较于对照组,观察组会阴疼痛和会阴侧切者较少,会阴完整者和I度撕裂者人数较多,差异有统计学意义(P<0.05)。两组孕妇均未出现会阴III度撕裂伤,会阴Ⅱ度撕裂伤比例比较,差异无统计学意义(P>0.05)。观察组采取半坐位35例,侧卧位20例,体位更换15例,站位1例,蹲位4例。结论对于足月单胎自然分娩者,实施无保护会阴接生联合会阴阻滞麻醉术能够减少分娩痛感,降低会阴不适和产后出血发生率,值得在临床中推广。
Objective To analyze the clinical value of unprotected perineum delivery combined with perineum anesthesia for natural childbirth. Methods 150 cases of maternal were choose from March 2016 to May 2017 in The Fifth Affiliated（ Zhuhai）Hospital of Zunyi Medical College. The patients were divided into two groups according to the order of treatment,each with 75 cases.Control group accepted conventional production,after cervix opening,supine. The traditional protection was used to protect the production. In the study group,the patients were given unprotected perineum delivery combined with perineum anesthesia. The postpartum haemorrhage,the neonatal and postpartum perineum condition of the two groups were analyzed. Results There was no significant difference in the first time of labor and the amount of bleeding between the two groups（ P〉0. 05）. The second time of labor in observation group was shorter than the control group,the difference was statistically significant（ P〈0. 05）. There was no significant difference in the incidence of neonatal asphyxia between the two groups（ P〉0. 05）. Compared with the control group,number of perineal pain and perineal incision of the observation group was less,number of perineum complete and degree I of tearing was higher.There was no grade III laceration in both groups. There was no significant difference between the two groups in the degree of rupture of grade Ⅱ. In the observation group,35 cases of semi-sitting,20 cases of lateral side,15 cases of postural replacement,1 case of station,squatting in 4 cases. Conclusion For the full-term of single births,the implementation of unprotected perineal delivery combined with perineal anesthesia can reduce the pain of childbirth,reduce perineal discomfort and the incidence of postpartum hemorrhage,it is worth to promote in clinical practice.
作者
周金萍
周雪群
李慧芳
ZHOU Jin -ping;ZHOU Xue - qun;LI Hui -fang(Department of Obstetrics, The Fifth Affiliated （Zhuhai） Hospital of Zunyi Medical College, Zhuhai Guangdong 519100, P. R. China)
出处
《中国计划生育和妇产科》
2018年第5期89-91,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
自然分娩
无保护
会阴
接生
阻滞麻醉
natural childbirth
unprotected
perineum
delivery
block anesthesia
