无保护会阴接生在经阴道分娩产妇中的应用效果  

Application effects of unprotected perineal delivery in vaginal delivery women

作　　者：马冰清 MA Bingqing(Delivery Room of Nanyang First People’s Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市第一人民医院产房,河南南阳473000

出　　处：《中国民康医学》2025年第9期184-186,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察无保护会阴接生在经阴道分娩产妇中的应用效果。方法:回顾性分析2021年4月至2023年4月该院收治的78例经阴道分娩产妇的临床资料,按照接生方法不同将其分为观察组和对照组各39例。对照组实施传统会阴保护接生,观察组实施无保护会阴接生。比较两组会阴裂伤率、会阴侧切率、产后不同时间(产后12、24、48 h)疼痛[视觉模拟评分法(VAS)]评分、并发症发生率、新生儿Apgar评分和分娩满意度。结果:两组Ⅰ度会阴裂伤率比较,差异无统计学意义(P>0.05);观察组Ⅱ度会阴裂伤率、会阴侧切率均低于对照组,差异有统计学意义(P<0.05);产后12 h,两组VAS评分比较,差异无统计学意义(P>0.05);产后24、48 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率和1、5 min新生儿Apgar评分比较,差异均无统计学意义(P>0.05);观察组分娩满意度为97.44%(38/39),高于对照组的79.49%(31/39),差异有统计学意义(P<0.05)。结论:无保护会阴接生应用于经阴道分娩产妇可降低Ⅱ度会阴裂伤率、会阴侧切率和产后疼痛评分,提高分娩满意度,效果优于传统会阴保护接生。Objective:To observe application effects of unprotected perineal delivery in vaginal delivery women.Methods:The clinical data of 78 pregnant women with vaginal delivery admitted to the hospital from April 2021 to April 2023 were retrospectively analyzed.According to different delivery methods,they were divided into observation group and control group,39 cases in each group.The control group was given traditional perineal protection delivery,while the observation group was given unprotected perineal delivery.The perineal laceration rates,the lateral episiotomy rates,the pain[visual analogue scale(VAS)]scores at different postpartum time(12,24 and 48 h after delivery),the incidence of complications,the neonatal Apgar scores,and the delivery satisfaction were compared between the two groups.Results:There was no significant difference in the rate of I degree perineal laceration between the two groups(P>0.05).The rates of II degree perineal laceration and lateral episiotomy in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 24,48 h after delivery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the delivery satisfaction of the observation group was 97.44%(38/39),which was higher than 79.49%(31/39)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The unprotected perineal delivery in vaginal delivery can reduce the rate of II degree perineal laceration,the lateral episiotomy rate and the postpartum pain score,and improve the delivery satisfaction.Moreover,it is superior to traditional perineal protection delivery.

关 键 词：经阴道分娩 无保护会阴接生 传统会阴保护接生 会阴裂伤 会阴侧切 疼痛 分娩满意度 

分 类 号：R714[医药卫生—妇产科学]