阴道气囊助产300例临床分析  

Clinical analysis of vaginal gasbag midwifery in 300 cases

作　　者：杜雪莲 雷迅 何间秀 

机构地区：[1]成都金牛区妇幼保健院,610081 [2]西南民族大学食品安全与卫生防疫中心

出　　处：《中国实用医药》2017年第24期37-38,共2页China Practical Medicine

摘　　要：目的探讨阴道气囊助产对产程、产后出血、新生儿窒息、剖宫产及会阴侧切的影响。方法 600例产妇作为研究对象,随机分为观察组与对照组,每组300例。观察组采用阴道气囊助产,对照组未做阴道气囊助产。对比两组的产程、产后出血、新生儿窒息、剖宫产及会阴侧切情况。结果观察组产妇第一产程和第二产程时间均明显短于对照组,差异均具有统计学意义(P<0.01)。两组产后2 h出血量和新生儿窒息情况比较差异均无统计学意义(P>0.05)。观察组剖宫产率为22.67%,低于对照组的42.33%,差异具有统计学意义(P<0.05)。观察组会阴侧切率为32.67%,低于对照组的70.00%,差异具有统计学意义(P<0.05)。结论阴道气囊助产较常规分娩方式有明显的优越性,是一种安全、简单、有效的助产技术。Objective To investigate the effect of vaginal gasbag midwifery on stages of labor, postpartum hemorrhage, neonatal asphyxia, caesarean section and episiotomy. Methods A total of 600 puerpera as study subjects were randomly divided into observation group and control group, with 300 cases in each group. The observation group received vaginal gasbag midwifery, and the control group received no vaginal gasbag midwifery. Comparison were made on stages of labor, postpartum hemorrhage, neonatal asphyxia, caesarean section and episiotomy situation in two groups. Results The observation group had obviously shorter duration of first and second stage of labor than the control group, and their difference had statistical significance （P〈0.01）. Both groups had no statistically significant difference in 2 h postpartum bleeding volume and and neonatal asphyxia （P〉0.05）. The observation group had lower incidence of caesarean section as 22.67% than 42.33% in the control group, and the difference had statistical significance （P〈O.05）. The observation group had lower episiotomy rate as 32.67% than 70.00% in the control group, and the difference had statistical significance （P〈0.05）. Conclusion Vaginal gasbag midwifery is superior to routine delivery mode, and it is a safe, simple and effective delivery midwifery technique.

关 键 词：阴道气囊助产 产程 剖宫产 会阴侧切 

分 类 号：R717[医药卫生—妇产科学]