摘要
目的观察分析采用无保护会阴接生应用在妇科接生中对分娩结局的影响。方法将2019年1月至2020年12月我院妇产科接诊的194例自然分娩产妇进行研究,根据随机抽签法进行分组,将其分为实验组和参照组,每组97例。参照组病人选择常规的会阴保护接生法进行分娩,实验组则是采取无保护会阴接生法进行分娩,比较两组病人的分娩结局以及不良反应、分娩情况。结果实验组会阴裂伤率68.04%低于参照组的会阴裂伤率89.70%,差异较大(P<0.05);实验组病人的不良情况率8.25%低于参照组的不良情况率18.56%,差异较大(P<0.05);实验组病人的分娩时长、分娩失血量、术后下床时间及在院时间均低于参照组,差异较大(P<0.05)。结论在妇产科自然分娩产妇的接生中,实施无保护会阴接生法相较于传统的会阴保护接生法,产妇出现会阴裂伤的情况会显著降低,且会阴裂伤的程度也会明显改善,而且会阴水肿、尿潴留、产后出血等不良情况的概率也会明显改善,新生儿的评分也有显著提升,值得临床推广。
Objective To observe and analyze the effect of unprotected perineal delivery on delivery outcome in gynecological delivery.Methods One hundred and ninety-four cases of natural childbirth in our hospital from January 2019 to December 2020 were randomly divided into experimental group and reference group,97 cases in each group.The control group was given conventional perineal protection delivery,while the experimental group was given unprotected perineal delivery.The delivery outcomes,adverse reactions and delivery situation of the two groups were compared.Results The perineal laceration rate of the experimental group was 68.04%,lower than 89.70% of the reference group,the difference was significant (P<0.05).The adverse situation rate of the experimental group was 8.25%,lower than 18.56% of the reference group,the difference was significant (P<0.05).The delivery time,blood loss,postoperative out of bed time and hospital time of the experimental group were lower than those of the reference group,the difference was significant (P<0.05).Conclusion In the delivery of parturient women in natural childbirth,the implementation of the unprotected perineal delivery method is more effective than the traditional perineal protection delivery method.The incidence of perineal laceration will decrease significantly,and the degree of perineal laceration will also be improved.The probability of adverse effects such as perineal edema,urine retention,postpartum hemorrhage and so on will also be improved significantly.It is worthy of clinical promotion.
作者
刘凤婷
LIU Feng-ting(Laixi People's Hospital,Laixi,Shandong 266600)
出处
《智慧健康》
2021年第8期119-121,共3页
Smart Healthcare
关键词
无保护会阴接生法
保护会阴接生法
自然分娩
产妇
不良症状
分娩结局
Unprotected perineal delivery
Protected perineal delivery
Natural delivery
Puerpera
Adverse symptoms
Delivery outcome
