限制性会阴切开评估表在自然分娩中的应用价值  

Application value of the restricted perineotomy evaluation form during natural delivery

作　　者：郑莉宏 黄丽 邱迎军 赵言 ZHENG Lihong;HUANG Li;QIU Yingjun;ZHAO Yan Yuncheng(Central Hospital Affiliated to Shanzi Medical University,Yuncheng,Shanci Province,044000)

机构地区：[1]山西医科大学附属运城市中心医院,044000

出　　处：《中国计划生育学杂志》2025年第3期637-640,共4页Chinese Journal of Family Planning

摘　　要：目的:观察限制性会阴切开评估表在自然分娩产妇中的应用价值。方法:将2023年1-12月本院收治的自然分娩产妇(260例)以随机数字表法平均分成观察组及对照组(130例),两组均采取常规分娩护理干预,观察组加以本院自制的应用限制性会阴切开评估表进行评估,比较两组会阴切开率及会阴撕裂率、产后并发症发生率、伤口愈合时间及产后12h疼痛程度评分(VAS评分)、住院时间、产后抑郁自评量表(SDS)评分及生活质量评分(SF-36)、新生儿并发症、新生儿出生1min及5min Apgar评分、产妇满意率及护理质量评分。结果:观察组会阴切开率(7.8%)及会阴撕裂率(7.8%)均低于对照组(19.2%、22.3%),产妇并发症发生率(0)低于对照组(4.6%),产妇伤口愈合时间(6.12±0.45d)、住院时间(2.10±0.34d)均短于对照组(8.23±0.23d、2.94±0.54d),产后12h VAS评分(2.45±0.52分)低于对照组(3.54±0.49分),产后SDS评分(38.65±5.23分)低于对照组(44.23±3.54分),SF-36评分(81.65±5.23分)高于对照组(72.32±24.4分),新生儿并发症率(0)低于对照组(4.6%),新生儿1min与5min Apgar评分高于对照组,产妇满意率(97.7%)及护理质量评分(95.63±2.05分)高于对照组(90.8%、91.53±2.15分)(均P<0.05)。结论:在自然分娩产妇中应用限制性会阴切开评估表,可降低会阴切开率及会阴撕裂率、产后并发症发生率及新生儿并发症发生率,改善产妇不良心理及生活质量,利于新生儿健康,还可提升产妇满意率及护理质量。Objective:To observe the application value of the restricted perineotomy evaluation table for pregnant women during natural delivery.Methods:A total of 260 pregnant women who wanted natural delivery admitted to the hospital were divided into observation group and control group(130 cases in each group)by random number table method from January 2023 to December 2023.The women in the two groups were given routine delivery nursing intervention,the women in the observation group were given nursing intervention based on the restricted perineotomy evaluation form additionally.The perineal incision rate,the perineal tear rate,the postpartum complication rate,the wound healing time,the 12h postpartum pain degree evaluated by visual analogue scale(VAS)score,the duration of hospital stay,the scores of postpartum depression self-rating scale(SDS)and quality of life score(SF-36),the neonatal complications rate,the Apgar score of newborns at 1min and 5min after born,the maternal satisfaction rate and the nursing quality score of the women were compared between the two groups.Results:The rate of perineal incision(7.8%)and the perineal tear(7.8%)of the women in the observation group were significantly lower than those(19.2%and 22.3%)of the women in the control group.The incidence of the maternal complications(0)of the women in the observation group was significantly lower than that(4.6%)of the women in the control group.The wound healing time(6.12±0.45d)and the hospitalization time(2.10±0.34d)of the women in the observation group were significantly shorter than those(8.23±0.23d and 2.94±0.54d)of the women in the control group.The score VAS(2.45±0.52 points)of the women in the observation group at 12 hours after delivery was significantly lower than that(3.54±0.49 points)of the women in the control group.The postpartum SDS score(38.65±5.23 points)of the women in the observation group was significantly lower than that(44.23±3.54 points)of the women in the control group.The SF-36 score(81.65±5.23 points)of the women in the

关 键 词：自然分娩 限制性会阴切开评估表 会阴切开率 并发症 心理 新生儿 满意率 

分 类 号：R47[医药卫生—护理学]