低危初产妇限制性会阴切开术的临床应用观察  

Clinical observation on the effect of restrictive episiotomy in low risk primipara

作　　者：王金艳 范桂金[1] Wang Jinyan Fan Guijin(Department of Obstetrics and Gynecology,the People＇s Hospital of Lianshui County ,Jiangsu 223400, Chin)

机构地区：[1]江苏省涟水县人民医院妇产科,223400

出　　处：《中国基层医药》2017年第21期3245-3248,I0003,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨限制性会阴切开术在低危初产妇中的疗效。方法选择100例低危初产妇，采用随机数字表法分组，观察组（n=50例）采用限制性会阴切开术，对照组（n=50例）不限制会阴切开，比较两组疗效。结果观察组会阴切开比例低于对照组（22．0％比82．0％）、会阴疼痛比例低于对照组（4．0％比26．0％）、Ⅰ度裂伤发生率高于对照组（38．0％比6．0％）（x2=36．058、9．490、14．918，均P〈0．05）。观察组产妇住院时间显著短于对照组[（3．15±0．78）d比（3．84±0．98）d）、住院费用明显低于对照组[（1814±356）元比（1999±387）元]，差异均有统计学意义（t=2．397、3．895、2．488，均P〈0．05）。观察组产后性生活恢复时间显著短于对照组[（45．6±16．5）d比（72．5±23．6）d）、性交痛发生率低于对照组（6．0％比24．0％），差异均有统计学意义（X2=6．606、6．353，均P〈0．05）。缩论在低危初产妇中应用限制性会阴切开术疗效好，有助于产后恢复。Objective To investigate the clinical effect of restrictive episiotomy in low risk primipara. Methods 100 full- term pregnant women with low risk primipara were divided into observation group and control group according to random number table, 50 cases in each group. The patients in the observation group were treated with restrictive episiotomy. The perineum, the second stage of labor, hospitalization time and COSt, postpartum sexual life were compared between the two groups. Results In the observation group, the proportion of perineal incision （22.0% vs. 82.0% ） was less than that in the control group,the proportion of perineal pain （4.0% vs. 26.0% ） was lower than that in the control group,the incidence rate of first degree laceration（38.0% vs. 6.0% ） was higher than that in the control group, the differences were statistically significant （x2=36. 058,9. 490,14. 918, allP 〈 0.05 ）.The hospitalization time of the observation group was significantly shorter than that of the control group [ （3.15 ± 0. 78 ） d vs. （3.84 ±0.98 ） d ] , the cost of hospitalization of the observation group was significantly lower than that of the control group[ （1 814 ±356）yuan vs. （1 999 ± 387）yuan], the differences were statistically significant （X2 = 2. 397,3. 895,2. 488, all P 〈 0.05 ）. The recovery time of sexual life in the observation group was significantly shorter than that in the control group [ （45.6 ± 16.5 ） d vs. （72.5 ± 23.6） d ], and the incidence rate of coital pain was lower than that of the control group （6.0% vs. 24.0% ）, the differences were statistically significant （X2 = 6. 606,6.353, all P 〈 0.05）. Conclusion Restrictive episiotomy in low risk primipara has good effect, it is conducive to postpartum recovery.

关 键 词：孕妇 会阴切开 疼痛 会阴裂伤 

分 类 号：R719[医药卫生—妇产科学]