助产士主导下无创干预对初产妇分娩时降低会阴侧切、会阴撕裂的影响  

The Effect of Midwife-led Noninvasive Interventions on Reducing Lateral Episiotomy and Perineal Tears in Primipara during Delivery

作　　者：邱天爽 肖一然 高秀芳 李木子 QIU Tianshuang;XIAO Yiran;GAO Xiufang;LI Muzi(Department of Gynaecology and Obstetrics,Beijing Huairou Hospital,Beijing 101400,China;不详)

机构地区：[1]北京怀柔医院妇产科,北京101400

出　　处：《中国医学创新》2024年第2期97-101,共5页Medical Innovation of China

摘　　要：目的:探究助产士主导下无创干预对初产妇分娩时降低会阴侧切、会阴撕裂的影响。方法:选择2021年7月—2023年7月在北京怀柔医院的初产妇100例,应用随机数字表法将其分为对照组(传统助产)及观察组(助产士主导下无创干预),各50例。对比两组会阴侧切率、会阴撕裂程度、产程时长、疼痛评分[视觉模拟评分法(VAS)]、缩宫素使用率、并发症。结果:观察组会阴侧切率、会阴撕裂程度均低于对照组,差异均有统计学意义(P<0.05)。对照组产程均长于观察组,差异均有统计学意义(P<0.05)。产前,两组VAS评分对比,差异无统计学意义(P>0.05);产后1、5 d,观察VAS评分均低于对照组,差异均有统计学意义(P<0.05)。对照组并发症发生率、缩宫素使用率均高于观察组,差异均有统计学意义(P<0.05)。结论:初产妇分娩时接受助产士主导下无创干预,可降低会阴侧切、会阴撕裂、并发症发生率,缩短产程,减轻痛感。Objective:To investigate the effect of midwife-led noninvasive intervention on reducing the lateral episiotomy and perineal tear in primipara during delivery.Method:A toal of 100 primiparas were selected from July 2021 to July 2023 in Beijing Huairou Hospital,and were divided into the control group(traditional midwifery)and the observation group(non-invasive midwife-led intervention)by the random number table method,with 50 cases in each group.The rates of lateral episiotomy and degree of perineal tear,the length of labor,the pain scores[visual analogue scale(VAS)],the usage rate of oxytocin,and the complications of the two groups were compared.Result:Lateral episiotomy and degree of perineal tear in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The duration of labor in the control group were longer than those in the observation group,the differences were statistically significant(P<0.05).Before labor,the difference in VAS scores between the two groups was not statistically significant(P>0.05);on the 1st and 5th day after delivery,VAS scores of observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications and usage rate of oxytocin in the control group were higher than those in the observation group,the differences were statistically significant(P<0.05).Conclusion:The acceptance of midwife-led noninvasive intervention in primipara during delivery can reduce the incidence of lateral episiotomy and perineal tear,complications,shorten the duration of labor,and reduce pain.

关 键 词：助产士主导下无创干预 初产妇 会阴侧切 会阴撕裂 

分 类 号：R473.71[医药卫生—护理学]