无保护会阴接生技术在初产妇分娩中的应用效果  

Application effect of unprotected perineum delivery technology in primipara delivery

作　　者：张春燕[1] 张丽兴[2] 胡雪芬 ZHANG Chun-yan;ZHANG Li-xing;HU Xue-fen(Disinfection Supply Center,Hospital of Chang′an Dongguan,Guangdong Province,Dongguan 523843,China;Delivery Room,Hospital of Chang′an Dongguan,Guangdong Province,Dongguan 523843,China;Department of Obstetrics,Hospital of Chang′an Dongguan,Guangdong Province,Dongguan 523843,China)

机构地区：[1]广东省东莞市长安医院消毒供应中心,广东东莞523843 [2]广东省东莞市长安医院产房,广东东莞523843 [3]广东省东莞市长安医院产科,广东东莞523843

出　　处：《中国当代医药》2019年第34期190-192,共3页China Modern Medicine

基　　金：广东省东莞市社会科技发展（一般）项目（201850715022889）

摘　　要：目的探讨无保护会阴接生技术在初产妇分娩中的应用效果。方法选取2018年4月~2019年3月在我院分娩的72例初产妇,将随机抽签法作为分组依据,划分为对照组与实验组,每组各36例。对照组接受常规助产分娩干预,实验组接受无保护会阴接生技术干预,观察与统计两组的会阴完整率、会阴侧切率、会阴裂伤程度、会阴疼痛、第二产程时间及新生儿体重情况,并进行比较评价。结果实验组的会阴侧切率与会阴疼痛视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(P<0.05)。实验组的会阴完整率高于对照组,会阴裂伤程度优于对照组,差异有统计学意义(P<0.05)。两组的第二产程时间及新生儿体重情况比较,差异无统计学意义(P>0.05)。实验组的产妇接生总满意度为94.44%,高于对照组的77.78%,差异有统计学意义(P<0.05)。结论对于初产妇而言,应用无保护会阴接生技术能够大大降低其会阴侧切的概率,缓解疼痛感等,在临床中具有可观的应用价值。Objective To explore the application effect of unprotected perineal delivery technology in primipara delivery.Methods Altogether seventy-two primipara who delivered in our hospital from April 2018 to March 2019 were selected and divided into the control group and the experimental group according to random lottery,36 cases in each group.The control group received routine midwifery intervention,while the experimental group received unprotected perineal delivery intervention.The perineal integrity rate,lateral perineal incision rate,degree of perinal laceration perineal pain,second stage of labor time and neonatal weight were observed and counted,which were compared and evaluated.Results The rate of lateral episiotomy and the score of perineal visual analogue scale(VAS)score of pain in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The perineal integrity rate of the experimental group was higher than that of the control group,the degree of perineal laceration of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the second stage of labor and the weight of newborns between the two groups(P>0.05).Maternal delivery total satisfaction of the experimental group was 94.44%,which was higher than 77.78%of the control group,the difference was statistically significant(P<0.05).Conlusion For primipara,the application of unprotected perineal delivery technology can greatly reduce the probability of lateral perineal incision and relieve pain,which has considerable clinical application value.

关 键 词：初产妇 无保护会阴接生技术 分娩 视觉模拟评分 应用效果 

分 类 号：R473.5[医药卫生—护理学]