摘要
目的探讨在基层医院低危初产妇正常产中实行限制性会阴切开的可行性和安全性。方法将低危初产妇按随机抽签法预先分配到试验组和对照组,试验组120例,实行限制性会阴切开;对照组61例,实行常规会阴侧切。主要记录限制会阴切开的方法,阴道裂伤程度,产时出血,婴儿Apgar评分情况。结果试验组会阴切开率为18%,对照组为87%,对比差异有统计学意义;Ⅰ度裂伤对比差异有统计学意义,Ⅱ度裂伤差异无统计学意义,2组均未出现Ⅲ度裂伤。结论基层医院低危初产妇采用多种措施实施限制性会阴切开,可降低会阴裂伤的发生率及程度。
ObjectiveDiscussion on the grass-roots hospital low-risk primiparae in normal production, control episiotomy rate, the feasibility and safety of restrictive episiotomy.MethodLow-risk primiparae were assigned randomly to experimental group and control group, 120 cases of test group, the experimental group will be selected episiotomy with more strict assessment. And simultaneous production of 61 low-risk primiparae were compared with control group, the perineal conventional were cutted. The main methods were compared in two groups of vaginal laceration, hemorrhage, infant Apgar scores.ResultsThe rate of episiotomy in experimental group was 18%, in the control group was 87%, there was statistically significant difference between the groups.The first degree laceration in experimental group was greater than in contro group. The second degree laceration were of no statistic difference between the group, There were no case of third degree laceration of two groups.ConclusionIn the grass-roots hospital, low-risk primiparas with multi restrictions reduce degree perineal laceration of perineum incision .
出处
《基层医学论坛》
2015年第12期1586-1588,共3页
The Medical Forum
关键词
低危产妇
会阴切开
限制性
会阴按摩
会阴局麻
Low-risk women Perineum incision Ristriction Perineum perineal massage Perineal anesthesia
作者简介
张飞冰，女，本科，主管护师。
