新型脉冲式会阴保护接产手法对经阴道分娩初产妇分娩结局的影响  

Delivery outcome of primipara with vaginal delivery receiving novel pulse perineal protective delivery technique

作　　者：罗凤梅[1] 李秀花[1] 史晓红[1] 顾宁[1] 魏素花[1] LUO Fengmei;LI Xiuhua;SHI Xiaohong;GU Ning;WEI Suhua(Center for Obstetrics and Gynecology,Nanjing Drum Tower Hospital,Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院妇产医学中心,江苏南京210008

出　　处：《中国临床研究》2024年第2期266-270,共5页Chinese Journal of Clinical Research

基　　金：江苏省十四五卫生健康科教能力提升工程—妇产医学创新中心(CXZX202229);南京大学医学院附属鼓楼医院新技术发展基金(XJSFZJJ202037)。

摘　　要：目的探讨新型脉冲式会阴保护接产手法在经阴道分娩初产妇中的应用效果。方法选择2021年3月至12月南京大学医学院附属鼓楼医院产科符合阴道试产指征且拟阴道分娩的初产妇229例为研究对象,按随机数字表法分为观察组113例和对照组116例。对照组采用传统会阴保护手法接产,观察组采用我院新型脉冲式会阴保护接产手法(已获得授权国家版权局文字作品保护,登记号:国作登字—2020-A-00981283)接产。观察两组产妇的分娩结局及产后会阴疼痛、母乳喂养及满意度等情况。结果观察组第二产程时间、产后出血量、会阴Ⅱ度及以上裂伤、留置导尿率及住院时间均低于对照组(P<0.05);而早期下床活动例数、产后纯母乳喂养率高于对照组(P<0.05)。新生儿Apgar评分、脐动脉pH值、脐动脉剩余碱比较,差异无统计学意义(P>0.05)。结论新型脉冲式会阴保护接产手法接产,可以加快第二产程进展,减轻产妇会阴损伤,降低产后出血,提高纯母乳喂养。Objective To explore the application effect of novel pulse perineal protective delivery technique in primipara undergoing vaginal delivery.Methods A total of 229 primipara who met the indications for vaginal trial delivery and planned vaginal delivery in the obstetrics department of Nanjing Drum Tower Hospital from March to December 2021 were selected and randomly divided into observation group(113 cases)and control group(116 cases)using a random number table method.The control group received the delivery with traditional perineal protection,and the observation group received the delivery with the novel pulse perineal protection of our hospital(which has been authorized to be protected by the written works of the national copyright administration,registration number:2020-A-00981283).The delivery outcome,postpartum perineal pain,breastfeeding and satisfaction of the two groups were observed.Results The time of the second stage of labor,the amount of postpartum hemorrhage,perineal laceration with degreeⅡand above,catheterization rate and hospital stay in the observation group were significantly lower than those in the control group(P<0.05).The number of early relief of bedrest and the rate of postpartum exclusive breastfeeding were significantly higher than those in the control group(P<0.05).There was no significant difference in neonatal Apgar score,umbilical artery pH,and umbilical artery base excess(BE)between the two groups(P>0.05).Conclusion The novel pulse perineal protection technique can speed up the progress of the second stage of labor,reduce perineal injury and postpartum hemorrhage,and improve pure breastfeeding.

关 键 词：经阴道分娩 会阴侧切 会阴裂伤 接产 脉冲式会阴保护 

分 类 号：R714.46[医药卫生—妇产科学]