摘要
目的探讨经阴道分娩初产妇实施会阴侧切术对分娩结局的影响。方法便利选取该院2017年6月—2019年6月收治的60例低危初产妇作为观察对象。其中30例在经阴道分娩时实施会阴侧切术,设为观察组,另30例则不实施会阴侧切术,设为对照组。将两组产妇的第二产程时间、Ⅱ度以上会阴裂伤发生率、术中出血量、新生儿出生后1 min、5 min的Apgar评分及窒息发生率进行比较。结果对照组产妇的第二产程时间为(47.81±20.11)min,低于观察组的(49.66±19.87)min,但两组之间的差异无统计学意义(t=1.771,P=0.082);术中出血量为(287.36±19.02)ml,低于对观察的(366.72±44.26)mL(t=3.705,P=0.001);两组产妇的Ⅱ度以上会阴裂伤发生率均为0.00%(χ^2=3.817,P=0.375);对照组新生儿新生儿1min时的Apgar评分为(9.77±0.38)分,观察组为(9.76±0.42)分(t=0.337,P=0.758),5 min时的Apgar评分为(9.82±0.14),对照组为(9.83±0.26)分(t=1.579,P=0.149);两组新生儿1 min时的窒息发生率均为0.00%,差异无统计学意义(χ^2=0.026,P=0.795),新生儿5 min时的窒息发生率也均为0.00%,差异无统计学意义(χ^2=2.324,P=0.459)。结论对经阴道分娩初产妇实施会阴侧切术并不会导致更好的分娩结局,并且会导致术中出血量加大,因此不建议低危产妇在经阴道分娩时实施会阴侧切术。
Objective To investigate the effect of perineal lateral resection on the outcome of childbirth.Methods 60 low-risk primiparas treated in the hospital from June 2017 to June 2019 were convenient selected as observation objects.Among them,30 patients underwent perineal resection during the vaginal delivery and were set as the obeservation group,and the other 30 patients did not perform perineal resection and set as the control group.The time of the second stage of labor,the incidence of perineal laceration aboveⅡdegrees,the amount of intraoperative bleeding,the Apgar score at 1 minute and 5 minutes after birth and the incidence of asphyxia were compared between the two groups.Results The second delivery time of the control group was(47.81±20.11)mins,which was lower than that of the observation group(49.66±19.87)min(t=1.771,P=0.082);the intraoperative blood loss was(287.36±19.02)mL,which was lower than that of the control group(366.72±44.26)mL(t=3.705,P=0.001);the incidence of perineal lacerations of degreeⅡand above was 0.00%(χ^2=3.817,P=0.375);Apgar score of newborns in the control group at 1 minute was(9.77±0.38)points,and that in the observation group was(9.76±0.42)points,(t=0.337,P=0.758),Apgar score at 5min was(9.82±0.14)points,and the observation group was(9.83±0.26)points(t=1.579,P=0.149);the incidence of asphyxia at 1min in both groups was 0.00%,and there was no statistically significant difference(χ^2=0.026,P=0.795).The incidence of asphyxia at 5 min was also 0.00%,and there was no statistically significant difference(χ^2=2.324,P=0.459).Conclusion Perineal resection for primiparous women undergoing vaginal delivery will not lead to better delivery outcomes and will result in increased intraoperative bleeding.Therefore,it is not recommended that low-risk women perform perineal resection during vaginal delivery.
作者
吴海红
WU Hai-hong(Department of Obstetrics and Gynecology,Ganyu Traditional Chinese Medicine Hospital,Lianyungang,Jiangsu Province,222100 China)
出处
《中外医疗》
2020年第7期36-38,共3页
China & Foreign Medical Treatment
关键词
经阴道分娩
初产妇
会阴侧切术
分娩结局
Transvaginal birth
Primipara
Perineal lateral resection
Delivery outcome
