摘要
目的:探讨限制会阴切开在初产妇自然分娩中的可行性与安全性。方法:选取住院单胎头位初产妇225例作为研究对象,随机分为观察组与对照组,其中观察组118例实施限制会阴切开(会阴保护法)进行接生,对照组107例采取常规会阴侧切术助产分娩方式接生,比较两组会阴伤口、产后疼痛情况及产妇满意度。结果:两组产妇伤口愈合情况比较无显著性差异(P>0.05),观察组会阴完整率为73.7%;其产后并发会阴水肿、产后疼痛程度明显低于对照组(P<0.01);分娩方式及其护理满意度比较,观察组明显高于对照组(P<0.01)。结论:限制会阴切开可有效增加会阴完整率,减少产后并发会阴水肿及疼痛,提高产妇满意度,安全、可行,值得推广。
Objective：The feasibility and security of restricted perineum incision during natural delivery of primipara was studied.Methods：225 cases of primiparae who conceived single child with head-position hospitalized were selected and divided randomly into treatment group and control group. The treatment group including 118 primiparae gave birth after restricted perineum incision （protection of perineum）. The control group including 107 primiparae gave birth by a lateral perineum incision-facilitated means. The perineum incision, postpartum pain and the satisfactory degree of parturient women were compared. Results：wounds healing of both groups did not differ significantly（P＆gt;0.05）. Integrity rate of the treatment group was 73.7%. The degree of postpartum perineum edema and post delivery pain of treatment group was lower significantly than the control group （ P＆lt;0.01）. The satisfactory degree of nursing care of the treatment group was significantly higher than the control group （ P＆lt;0.01）.Conclusion：Restricted perineum incision can increase effectively the integrity rate of perineum, decrease subsequent perineum edema and post delivery pain and improve the satisfactory degree of puerperal.
出处
《安徽卫生职业技术学院学报》
2014年第3期71-72,共2页
Journal of Anhui Health Vocational & Technical College
关键词
限制性会阴切开
自然分娩
会阴裂伤
Restricted perineum incision
Natural delivery
Perineum laceration
