会阴保护的临床证据

Evidence-Based Perineal Care

会阴保护是产科的一个经典问题,从古至今,人们一直在进行各种尝试和摸索,既总结出一套有效的保护方法又在此方面进行了新的尝试。如何评价这些方法的有效性和可靠性呢?为此笔者检索了Cochrane图书馆(2007年第3期)、MEDLINE(1980.1～2007.5)和中国生物医学文献数据库(1980.1～2007.5),收集关于会阴按摩、会阴切开、分娩镇痛等会阴保护方面的系统评价和随机对照试验,对其进行归纳总结,以求为临床工作实践提供最佳的依据。

Perineal care is a classic topic for obstetrics. After thousands of years of practice, we have accumulated some experience and meanwhile, we are also taking some attempts. The effectiveness and rel lability of these methods need evaluation. Nowadays, the best evidence comes from randomized controlled trials （RCT） and systematic reviews （SR）. We searched The Cochrane Library （Issue 3, 2007）, MEDLINE （Jan. 1980 to May 2007） databases and CBM-disc （Jan. 1980 to May 2007） to obtain current best evidence for perineal care.