摘要
目的分析降低初产妇会阴侧切率对其Ⅲ度裂伤、感染和新生儿窒息的影响,为临床治疗提供参考依据。方法回顾性分析2012年5月-2015年5月4 641例产妇为研究对象,以年份将其分为3组,2012年5月-2013年5月产妇为1组1 550例、2013年6月-2014年5月产妇为2组1 547例、2014年6月-2015年5月产妇为3组1 544例,分析会阴感染率和新生儿窒息率,数据采用采用SPSS 18.0软件进行统计分析。结果在3组产妇的会阴侧切率呈逐年下降趋势,3组比较,差异有统计学意义(P<0.05);产妇会阴感染率也逐渐下降,其中,1组感染率0.7%,高于2、3组0.3%、0.1%,3组比较差异有统计学意义(P<0.05);2组与3组对比差异无统计学意义。结论产妇会阴侧切率的降低有助于降低产妇产后的会阴感染率,初产妇分娩过程中不建议使用会阴侧切方式。
OBJECTIVE To analyze the impact of reducing primipara episiotomy rate on Ⅲ °laceration,infection and neonatal asphyxia,so as to provide a reference for clinical treatment.METHODS A total of 4641 puerperas in the hospital from May 2012 to May 2015 were selected for a retrospective analysis,grouped in three according their hospitalized year.The first group had 1550 puerperas from May 2012 to May 2013,and second group 1547 cases from Jun.2013 to May 2014,third group 1544 cases from Jun.2014 to May 2015.Perineum infection rates and neonatal asphyxia rates were under analysis and SPSS 18.0was used to give statistic analysis.RESULTS The maternal episiotomy rates from three groups showed a declining trend year by year,and the difference was significant（P〈0.05）.The maternal perineal infection rates also declined gradually,and first group was 0.7%,which was higher than second and third group,0.3% and 0.1%,and the difference was significant（P〈0.05）.The comparison between second group and third group had no significant difference.CONCLUSIONThe maternal episiotomy rates decreasing can help reducing maternal postpartum perineal infection rates,so episiotomy is not suggested given to primipara.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第15期3538-3540,共3页
Chinese Journal of Nosocomiology
基金
海南省卫生厅医学科研基金资助项目(琼卫2013-30)
关键词
会阴侧切
会阴感染
会阴Ⅲ度裂伤
新生儿窒息
Episiotomy
Perineum infection
Perineal lacerationⅢ°
Neonatal asphyxia
