胎头娩出速度控制手法对会阴裂伤的预防价值  

Prevention value of fetal head delivery speed control on perineal laceration

作　　者：祁慧玲 王玉霞 

机构地区：[1]河南省原阳县红十字医院妇产科,453500

出　　处：《中国实用医刊》2015年第15期73-75,共3页Chinese Journal of Practical Medicine

摘　　要：目的探析应用胎头娩出速度控制手法进行分娩在预防产妇会阴裂伤方面的临床价值。方法选择原阳县红十字医院2012年1月至2014年1月收治的90例初产妇进行研究，分为观察组和对照组各45例。观察组对胎儿娩出速度进行控制，对照组采取传统会阴保护方法，比较两组患者的新生儿体质量、新生儿评分、第二产程时间、住院时间以及会阴裂伤率。结果观察组的新生儿体质量和第二产程时间分别为（3．11±0．13）kg、（55．81±9．53）min，与对照组接近（P〉0．05）；住院时间为（2．42±0．40）d，比对照组短（P〈0．05），比较差异有统计学意义；观察组共12例为I度裂伤，3例为Ⅱ度裂伤，无Ⅲ度裂伤，会阴裂伤率为33．33％，明显低于对照组的60．00％，比较差异具有统计学意义（P〈0．05）。结论胎头娩出速度控制手法在产妇分娩过程中的应用与传统会阴保护方法相比虽然不会对第二产程以及新生儿体质量造成影响，但是可以缩短产妇的住院时间并防止会阴裂伤问题，降低发生几率，应用效果满意，值得推广。Objective To analyze the clinical value of fetal head delivery time control technique on prevention of maternal perineal laceration. Methods Ninety primipara were selected from January 2012 to January 2014 as research objects, and they were divided into observation group and control group. The fetal childbirth speed was controlled in observation group, control group adopted the traditional perineal protection method. The neonatal birth weight score, the second labor time, length of hospital stay and the rate of perineal laceration in the two groups was compared. Results In observation group, birth weight and the second labor time respectively was （3.11 ± 0. 13 ）kg, （55.8 1 ± 9. 53 ）min, which has no significant difference with the control group （P 〉 0.05 ） ; length of hospital stay[ （ 2.42 ± 0. 40） d ] was shorter than that of control group, the difference was statistical significance （P 〈0. 05） ; a total of 12 cases of observation group had I degree laceration, 3 cases of 11 degree laceration, no 111 degree laceration, the perineal laceration rate was 33.33%, which was significantly lower than that of the control group （60.00%）, there was significant difference（ P 〈 0. 05 ）. Conclusions Fetal head delivery time control technique in the application of puerpera childbirth compared with the traditional perineal protection methods, it has no effect on the second labor and birth weight, but it can shorten the hospitalization time of maternal and prevent the perineal laceration and reduce risk with satisfying application effect, so it is worthy of promoting.

关 键 词：娩出速度 会阴裂伤 预防价值 

分 类 号：R714.3[医药卫生—妇产科学]