胎头吸引术联合规范化助产干预对孕妇产时阴道疼痛、盆底功能、胎儿并发症及助产成功率影响的临床研究  

Clinical study of the effect of fetal head aspiration combined with standardized midwifery intervention on vaginal pain,pelvic floor function,fetal complications and success rate of midwifery in pregnant women

作　　者：黄芳 Huang Fang(Department of Obstetrics and Gynecology,Danyang Maternal and Child Health Hospital,Danyang 212300,China)

机构地区：[1]丹阳市妇幼保健院妇产科,江苏丹阳212300

出　　处：《实用妇科内分泌电子杂志》2024年第22期65-67,71,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨胎头吸引术联合规范化助产干预对孕妇产时阴道疼痛、盆底功能、胎儿并发症及助产成功率的影响。方法选取40例待产产妇,根据随机抽签法分为两组,每组20例。对照组采用胎头吸引术,研究组在对照组基础上联合规范化助产干预,比较两组干预效果。结果研究组宫口开6 cm、宫口全开、娩出胎头时疼痛评分分别较对照组低(P<0.05)。研究组产后3个月盆底功能障碍症状量表(PFDI-20)与盆底障碍影响简易问卷(PFIQ-7)评分均分别低于对照组(P<0.05)。研究组胎儿并发症发生率低于对照组,助产成功率高于对照组(5.00%、90.00%VS 35.00%、60.00%,P<0.05)。结论胎头吸引术联合规范化助产干预能减轻产妇产时疼痛,减轻盆底功能损伤,可降低并发症风险,提高助产成功率。Objective To exploring the effect of fetal head aspiration combined with standardized midwifery intervention on postpartum vaginal pain,pelvic floor function,fetal complications,and midwifery success rate in pregnant women.Methods 40 expectant mothers were selected and divided into two groups using random drawing method,with 20 cases in each group.The control group underwent fetal head suction surgery,while the study group received standardized midwifery intervention in addition to the control group.The intervention effects of the two groups were compared.Results The pain scores during the opening of the cervix by 6 cm,full opening of the cervix,and delivery of the fetal head in the study group were lower than those in the control group(P<0.05).The scores of the pelvic floor dysfunction symptom scale(PFDI-20)and the pelvic floor dysfunction impact questionnaire(PFIQ-7)in the study group were lower than those in the control group at 3 months postpartum(P<0.05).The study group had a lower incidence of foetal complications and a higher success rate of assisted delivery than the control group(5.00%,90.00%VS 35.00%,60.00%,P<0.05).Conclusion The combination of fetal head aspiration surgery and standardized midwifery intervention can alleviate postpartum pain,reduce pelvic floor dysfunction,lower the risk of complications,and improve the success rate of midwifery.

关 键 词：胎头吸引术 规范化助产 盆底功能 

分 类 号：R47[医药卫生—护理学]