指法按摩会阴体对降低初产妇分娩会阴撕裂程度的影响

Effect of massage on perineal body in degrading the severity of perineal tear

目的探讨指法按摩会阴体降低初产妇分娩会阴撕裂程度的效果。方法采用便利取样法选取在本院产科住院分娩的初产妇177例,随机分为观察组84例和对照组93例,对照组采用传统方法保护产妇会阴,观察组在宫口开全后助产士采用指法按摩会阴体与传统保护会阴相结合的方法。观察两组产妇分娩过程会阴撕裂程度,产后出血量,新生儿窒息率及新生儿锁骨骨折情况。结果观察组会阴撕裂程度明显轻于对照组,产后出血量明显少于对照组,两组比较,均P<0.05,差异具有统计学意义。结论初产妇宫口开全后采用指法按摩会阴体可减轻产妇会阴损伤程度,效果优于采用传统会阴保护法,值得临床推广应用。

Objective To explore the effect of massage on perineal body in reducing the severity of perineal tear.Methods A total of 177 primiparas were equally randomized into a control group（n = 93） and an observation group（n = 84）.Primiparas in the control group were given traditional method only,and pimiparas in the observation group were given massage on perineal body incorporating traditional method in protecting parturient perineum.The severity of perineal tear,postpartum hemorrhage,the rate of neonatal asphyxia and neonata fracture of clavicle during delivery were observed.Result The severity of perineal tear was significantly lighter than that of the control group,and postpartum hemorrhage of the observation group was significantly lower than that of the control group.Conclusion Massage on perineal body after the total dilatation of cervix for primlparas may reduce the severity of perineal tear compared with the traditional method,and was worth applying in clinic generally.