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作 者:杨大欣 YANG Da-xin(Department of Obstetrics and Gynecology,Suining County People's Hospital,Xuzhou 221200,China)
机构地区:[1]睢宁县人民医院妇产科,221200
出 处:《中国实用医药》2022年第20期74-76,共3页China Practical Medicine
摘 要:目的分析气囊仿生助产术联合自由体位对分娩结局的影响。方法67例进行分娩的产妇,根据随机数字表法分为对照组(33例)及观察组(34例)。对照组采用自由体位进行分娩,观察组在对照组基础上联合气囊仿生助产术进行分娩。比较两组产程、分娩结局、会阴裂伤、会阴侧切及会阴完整情况。结果观察组第一产程、第二产程分别为(8.56±3.25)、(0.69±0.13)h,均短于对照组的(10.37±3.62)、(0.69±0.13)h,差异具有统计学意义(P<0.05)。观察组顺产率94.12%高于对照组的72.73%,差异具有统计学意义(P<0.05);观察组新生儿窒息率2.94%、产后出血率0低于对照组的15.15%、9.09%,但差异无统计学意义(P>0.05)。观察组会阴Ⅰ度裂伤、会阴完整率分别为47.06%、35.29%,高于对照组的21.21%、3.03%,会阴Ⅱ度裂伤、会阴侧切率分别为11.76%、5.88%,低于对照组的36.36%、39.39%,差异具有统计学意义(P<0.05)。结论气囊仿生助产术联合自由体位对分娩结局有积极影响。Objective To analyze the effect of balloon bionic midwifery combined with free position on delivery outcome.Methods A total of 67 cases of puerperae were divided into control group(33 cases)and observation group(34 cases)according to the random numerical table.The control group was delivered in free position,and the observation group was delivered by balloon bionic midwifery on the basis of the control group.The duration of labor,delivery outcome,perineal laceration,lateral episiotomy and perineal integrity were compared between the two groups.Results The first and second stages of labor in the observation group were(8.56±3.25)and(0.69±0.13)h,which were shorter than(10.37±3.62)and(0.69±0.13)h in the control group,and the difference was statistically significant(P<0.05).The vaginal delivery rate 94.12%of the observation group was higher than 72.73%of the control group,and the difference was statistically significant(P<0.05).The neonatal asphyxia rate and postpartum hemorrhage rate of the observation group were 2.94%and 0,which were lower than 15.15%and 9.09%of the control group,but the differences were not statistically significant(P>0.05).The gradeⅠperineal laceration and perineal integrity rate in the observation group were 47.06%and 35.29%,which were higher than 21.21%and 3.03%in the control group;the gradeⅡperineal laceration and episiotomy in the observation group were 11.76%and 5.88%,which were lower than 36.36%and 39.39%in the control group;all the differences were statistically significant(P<0.05).Conclusion Balloon bionic midwifery combined with free position has a positive effect on delivery outcome.
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