99例无保护会阴接生法临床分析

Clinical Application Study of Perineal Control with Hand-off Method

目的:通过对无保护会阴接生法与传统托肛保护会阴接生法的比较,探讨无保护会阴接生法的操作要点与临床疗效。方法:回顾性分析2013年1-4月本院采用无保护会阴接生法的99例产妇的临床资料,并将其作为观察组,并选取同期采用传统托肛会阴保护法的99例产妇作为对照组,对两组产妇会阴裂伤的发生率、第二产程时间及产后2 h出血量进行比较。结果:观察组会阴撕裂程度明显轻于对照组,比较差异有统计学意义(P<0.05),两组第二产程时间、产后2 h出血量比较差异均无统计学意义(P>0.05)。结论:无保护会阴接生操作方便、会阴保护效果良好,安全有效,符合自然分娩、绿色分娩理念,值得临床研究推广。

Objective：To explore the surgical management essentials and clinical efficacy of perineal control with hand-off method by comparing perineal control with hand-on and hand-off methods.Method：A retrospective analysis of the clinical data of 99 pregnant women with no protection of perineum connection method from January 2013 to April 2013 in our hospital,and as the observation group,99 cases treated by traditional maternal care anal perineum protection method as control group were selected,The severity of perineal tear,The time of the second stage of labor,postpartum hemorrhage,during delivery were observed and compared.Result：The severity of perineal tear was significantly lighter than that of the control group,the difference was statistically significant（P〈0.05）,The time of the second stage of labor,postpartum hemorrhage of the observation group was no statistical significance than that of the control group（P〉0.05）.Conclusion：Perineal control with hand-off method may reduce the severity of perineal tear and easy to operate compared with the traditional method,and was worth applying in clinic generally.