摘要
目的对初产妇实施会阴保护无侧切法阴道分娩的效果探究。方法抽取2017年1月-2019年5月该院进行阴道分娩的96例产妇,分析产妇资料,根据分娩时有无侧切分为对照组(n=48)和研究组(n=48),对照组实施会阴侧切术进行阴道分娩,研究组实施会阴保护无侧切法进行阴道分娩,对比分析两组相关分娩情况。结果研究组产时出血量为(153.08±52.14)mL,会阴部疼痛为(1.12±0.76)分,产后下床时间为(2.13±1.11)h,产后住院时间为(2.19±0.45)d,性生活恢复时间为(45.52±5.69)d,对照组产时出血量为(174.18±50.98)mL,会阴部疼痛为(3.79±2.18)分,产后下床时间为(4.97±1.29)h,产后住院时间为(3.79±0.91)d,性生活恢复时间为(57.91±7.42)d(t=2.005、8.013、11.562、10.919、9.180,P<0.05)。研究组产时出血量少,会阴部疼痛评分低,产后下床时间早,产后住院时间短,性生活恢复时间早。研究组依从40例,良好7例,不依从1例,依从性97.92%,对照组依从21例,良好21例,不依从6例,依从性87.50%,研究组产后护理依从性高于对照组,组间差异有统计学意义(χ^2=3.852,P=0.049<0.05)。结论将会阴保护无侧切法应用到阴道分娩的初产妇中,可减少初产妇产时出血量,改善会阴部疼痛感,同时还可以提高产后护理依从性,值得临床参考借鉴。
Objective To investigate the effect of vaginal delivery without unilateral vaginal delivery on primipara. Methods 96 women who underwent vaginal delivery from January 2017 to May 2019 were enrolled. The maternal data were analyzed and divided into control group(n=48) and study group(n=48) according to whether there were side cuts during childbirth. The control group underwent perineal lateral incision for vaginal delivery. The study group performed perineal protection without lateral cutting for vaginal delivery,and compared the two groups with related delivery. Results The bleeding volume of the study group was(153.08 ±52.14) mL, the perineal pain was(1.12±0.76)points, the postpartum bedtime was(2.13±1.11)h, and the postpartum hospital stay was(2.19 ±0.45)d. The recovery time of life was(45.52±5.69)d, the amount of bleeding in the control group was(174.18±50.98) mL, the pain in the perineum was(3.79±2.18)points, and the time to get out of bed was(4.97±1.29)h. The hospital stay time was(3.79±0.91) d, and the recovery time of sexual life was(57.91±7.42) d(t=2.005, 8.013, 11.562, 10.919, 9.180, P<0.05). The study group had less bleeding during labor, low pain scores in the perineum, early bed-time after childbirth, short postpartum hospital stay, and early recovery of sexual life.The study group followed 40 cases, 7 cases were good, 1 case was not followed, the compliance was 97.92%, the control group was 21 cases, the good 21 cases, the non-compliance 6 cases, the compliance 87.50%, The follow-up care compliance of the study group was higher than that of the control group. The difference between groups was statistically significant (χ^2=3.852, P=0.049<0.05). Conclusion The vaginal protection without side-cutting method should be applied to the primipara of vaginal delivery, which can reduce the amount of bleeding in the primipara, and improve the pain of the perineum. It can also improve postpartum care compliance and is worthy of clinical reference.
作者
毛永琴
MAO Yong-qin(Department of Obstetrics and Gynecology,Sihong County Central Hospital,Suqian,Jiangsu Province,223900 China)
出处
《世界复合医学》
2019年第12期101-103,共3页
World Journal of Complex Medicine
关键词
无侧切
会阴保护
阴道分娩
初产妇
效果
Without unilateral
Perineal protection
Vaginal delivery
Primipara
Effect
