摘要
目的探讨适度会阴保护接生法在自然分娩中的应用效果。方法选取2019年1月至2020年7月于九江学院附属医院自然分娩的160例产妇作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各80例。对照组采用无保护会阴接生法,观察组采用适度会阴保护接生法,比较两组的会阴裂伤程度、产后24 h疼痛情况[视觉模拟评分法(VAS)评分]、会阴侧切发生情况、产后出血情况、新生儿状态(窒息率、体重、Apgar评分)。结果观察组的会阴裂伤率、产后24 h的VAS评分、会阴侧切发生率、产后出血发生率低于对照组,差异均有统计学意义(P<0.05)。两组的新生儿窒息率、体重比较,差异无统计学意义(P>0.05)。观察组新生儿的Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论适度会阴保护接生法在自然分娩中应用效果显著,可有效减少产妇会阴裂伤、会阴侧切、产后出血及疼痛情况的发生,有助于改善新生儿生理状态,推荐临床应用。
Objective To explore the application effect of moderate perineal protection delivery method in natural childbirth.Methods A total of 160 parturients who underwent natural childbirth in the Jiujiang University Affiliated Hospital from January 2019 to July 2020 were selected as the research subjects,they were divided into the control group and the observation group by random number table method,80 cases in each group.The control group was given unprotected perineal delivery method,and the observation group was given moderate perineal protection delivery method.The degree of perineal laceration,postpartum 24 h pain(visual analog scale[VAS]score),the occurrence of perinea lateral incision,postpartum hemorrhage,and neonatal status(asphyxia rate,weight,Apgar score)were compared between the two groups.Results The rate of perineal laceration,postpartum 24 h VAS score,incidence rate of perineal lateral resection and incidence rate of postpartum hemorrhage in observation group were lower than those in control group,the differences were statistically significant(P<0.05).There were no significant differences in neonatal asphyxia rate and body weight between the two groups(P>0.05).The neonatal Apgar score of observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Moderate perineal protection delivery method has a significant application effect in natural childbirth.And it can effectively reduce the occurrence of maternal perineal laceration,perineotomy,postpartum hemorrhage and pain.It is helpful to improve the physiological status of newborns,thus it is recommended for clinical application.
作者
邹庆华
段惠芳
杨冬来
张蕾
ZOU Qing-hua;DUAN Hui-fang;YANG Dong-lai;ZHANG Lei(Department of Obstetrics and Gynecology,Jiujiang University Affiliated Hospital,Jiangxi Province,Jiujiang332000,China)
出处
《中国当代医药》
CAS
2021年第28期204-207,共4页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(202131102)。
关键词
适度会阴保护接生法
自然分娩
会阴裂伤
会阴侧切
Moderate perineal protection delivery method
Natural childbirth
Perineal laceration
Perineal lateral incision
