产程中阴道检查代替肛门检查的应用

Substitute vaginal examination for anal examination during labor course

目的 探讨产程中用阴道检查代替肛门检查的价值。方法 将 15 0 0例孕产妇随机分为两组 ,阴道检查组 770例 ,肛门检查组 73 0例 ,从产褥感染、新生儿感染、检查次数、产程进展的观察、检查结果准确性等几方面进行对比分析。结果 两组母儿感染情况比较差异无显著意义 (P >0 0 5 ) ;两组检查次数比较差异有显著意义 (P <0 0 5 ) ;肛门检查组中仅 82 1%能够准确判断宫口大小及胎先露情况 ,8 9%因估测宫口大小失误而不适时的干涉了产程。结论 阴道检查代替肛门检查不增加母儿感染 ,且具有准确性高等优点。

Objective To investigate the value to substitute vaginal examination for anal examination during labor course.Methods 1 500 cases were randomly divided into two groups:vaginal examination(770 cases) and anal examination(730 cases).The postpartum and neonatal infection,examination times,observation to the progress of the labor course,accuracy of examination were analyzed.Results There was no statistical difference between the two groups when infections of mother and infant were compared(P>0.05).There were statistical difference of examination times in two groups(P<0.05).It was only 82.1% that the accurately assessing dilatation of the cervix and condition of presenting part in anal examination.8.9% cases were interfered labor course at inadequate time because of error of assessing cervical os.Conclusion Vaginal examination will not increase infections for mother and infant.It has advantage with high accuracy.